ALEXIS SKYE LOGAN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****61

License Status

ACTIVE

Business

First Name

ALEXIS

Middle

SKYE

Last Name

LOGAN

Business Name

ALEXIS SKYE LOGAN

Original Issue Date

09/05/2018

Effective Date

02/24/2026

Expiration Date

03/01/2028

City

PEORIA

State

Zip

61636

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/24/2026