DANA ROSE LOGUE Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085009647

License Status

ACTIVE

Business

First Name

DANA

Middle

ROSE

Last Name

LOGUE

Business Name

DANA ROSE LOGUE

Original Issue Date

04/12/2023

Effective Date

01/25/2024

Expiration Date

03/01/2026

City

CHICAGO

State

Zip

60605

County

COOK

Ever Disciplined

LastModifiedDate

12/03/2025