WREN WILLOW LOGAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****66

License Status

ACTIVE

Business

Title

First Name

WREN

Middle

WILLOW

Last Name

LOGAN

Business Name

WREN WILLOW LOGAN MD

Original Issue Date

05/11/2022

Effective Date

07/12/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60660

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/12/2023