LOGAN MARK KOI Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085011021

License Status

ACTIVE

Business

First Name

LOGAN

Middle

MARK

Last Name

KOI

Business Name

LOGAN MARK KOI

Original Issue Date

12/10/2024

Effective Date

12/18/2025

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

12/18/2025