LOGAN M BARKLEY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007944

License Status

NOT RENEWED

Business

First Name

LOGAN

Middle

Last Name

BARKLEY

Business Name

LOGAN M BARKLEY

Original Issue Date

09/10/2020

Effective Date

01/11/2022

Expiration Date

03/01/2024

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Ever Disciplined

LastModifiedDate

02/05/2025