BRENDA CARBAJAL Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****01

License Status

ACTIVE

Business

First Name

BRENDA

Last Name

CARBAJAL

Business Name

BRENDA CARBAJAL

Original Issue Date

07/19/2023

Effective Date

01/02/2026

Expiration Date

03/01/2028

City

WESTMONT

State

Zip

60559

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/02/2026