LOGAN MARK KOI Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****59

License Status

ACTIVE

Business

First Name

LOGAN

Middle

MARK

Last Name

KOI

Business Name

LOGAN MARK KOI

Original Issue Date

12/12/2024

Effective Date

12/18/2025

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60612

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/18/2025