KSENIA SAMVEL Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004974

License Status

ACTIVE

Business

First Name

KSENIA

Last Name

SAMVEL

Business Name

KSENIA SAMVEL

Original Issue Date

01/17/2014

Effective Date

12/08/2025

Expiration Date

03/01/2028

City

GURNEE

State

Zip

60031

County

LAKE

Ever Disciplined

LastModifiedDate

12/08/2025