MICHAEL PATRICK LOGAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****60

License Status

ACTIVE

Business

Title

First Name

MICHAEL

Middle

PATRICK

Last Name

LOGAN

Business Name

MICHAEL PATRICK LOGAN MD

Original Issue Date

09/30/2020

Effective Date

09/08/2023

Expiration Date

07/31/2026

City

DOWNERS GROVE

State

Zip

60515

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/08/2023