LOGAN M BARKLEY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****22

License Status

NOT RENEWED

Business

First Name

LOGAN

Middle

Last Name

BARKLEY

Business Name

LOGAN M BARKLEY

Original Issue Date

09/25/2020

Effective Date

01/11/2022

Expiration Date

03/01/2024

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025