LOGAN LEW - Physician Assistant License in Illinois | # 085010810

LOGAN LEW

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085010810

License Status

ACTIVE

Business

N

First Name

LOGAN

Last Name

LEW

Business Name

LOGAN LEW

Original Issue Date

09/19/2024

Effective Date

01/12/2026

Expiration Date

03/01/2028

State

IL

Ever Disciplined

N

LastModifiedDate

01/12/2026