SUZANNA JEAN LOGAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036162596

License Status

ACTIVE

Business

Title

First Name

SUZANNA

Middle

JEAN

Last Name

LOGAN

Business Name

SUZANNA JEAN LOGAN MD

Original Issue Date

10/14/2022

Effective Date

05/05/2023

Expiration Date

07/31/2026

City

WEST ALLIS

State

Zip

53227

Ever Disciplined

LastModifiedDate

05/05/2023