LOGAN BARNES Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085009161

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

02/05/2025