LOGAN BARNES Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****03

License Status

INOPERATIVE

Business

First Name

LOGAN

Last Name

BARNES

Business Name

LOGAN BARNES

Original Issue Date

11/09/2022

Effective Date

11/09/2022

Expiration Date

03/01/2024

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

12/27/2023