Michael Logan Ariel Slack Do
ActiveIllinois license 036169850
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 036169850
- Status
- Active
- First issued
- April 14, 2024
- Expired
- August 31, 2026
- License holder
- Michael Logan Ariel Slack
- Entity type
- Individual
Classifications
- Licensed Physician and Surgeon (Medical Board) Physicians & Surgeons
More from the license record
- Current term began
- 04/14/2024
Contact
Meridian, ID 83642