DANA ROSE LOGUE Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****74

License Status

ACTIVE

Business

First Name

DANA

Middle

ROSE

Last Name

LOGUE

Business Name

DANA ROSE LOGUE

Original Issue Date

06/29/2023

Effective Date

01/25/2024

Expiration Date

03/01/2026

City

OAK LAWN

State

Zip

60453

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025