LOGAN BARNES - Physician Assistant License in Illinois | # 085009161

LOGAN BARNES

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085009161

License Status

NOT RENEWED

Business

N

First Name

LOGAN

Last Name

BARNES

Business Name

LOGAN BARNES

Original Issue Date

08/04/2022

Effective Date

08/04/2022

Expiration Date

03/01/2024

State

IL

Ever Disciplined

N

LastModifiedDate

02/05/2025