CAROLINE LUCETTE SHEPPARD Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006350

License Status

ACTIVE

Business

First Name

CAROLINE

Middle

LUCETTE

Last Name

SHEPPARD

Business Name

CAROLINE LUCETTE SHEPPARD

Original Issue Date

09/14/2017

Effective Date

01/12/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60654

County

COOK

Ever Disciplined

LastModifiedDate

01/12/2026