LAURA LOGEMAN BAKER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005843

License Status

NOT RENEWED

Business

First Name

LAURA

Middle

LOGEMAN

Last Name

BAKER

Business Name

LAURA LOGEMAN BAKER

Original Issue Date

06/20/2016

Effective Date

01/06/2020

Expiration Date

03/01/2022

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

02/28/2025