CARLIE SHRUPSHA Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085011164

License Status

ACTIVE

Business

First Name

CARLIE

Last Name

SHRUPSHA

Business Name

CARLIE SHRUPSHA

Original Issue Date

02/28/2025

Effective Date

02/27/2026

Expiration Date

03/01/2028

City

PLAINFIELD

State

Zip

60544

County

WILL

Ever Disciplined

LastModifiedDate

02/27/2026