LOGAN LEW Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085010810

License Status

ACTIVE

Business

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

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

01/12/2026