SELINA MARIE CARPENTER Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001976

License Status

ACTIVE

Business

First Name

SELINA

Middle

MARIE

Last Name

CARPENTER

Business Name

SELINA MARIE CARPENTER

Original Issue Date

01/29/2003

Effective Date

01/08/2026

Expiration Date

03/01/2028

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

01/08/2026