LOGAN PRICE Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****29

License Status

ACTIVE

Business

First Name

LOGAN

Last Name

PRICE

Business Name

LOGAN PRICE

Original Issue Date

07/16/2024

Effective Date

12/03/2025

Expiration Date

03/01/2028

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

02/05/2026