KSENIA SAMVEL Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****13

License Status

ACTIVE

Business

First Name

KSENIA

Last Name

SAMVEL

Business Name

KSENIA SAMVEL

Original Issue Date

07/08/2014

Effective Date

12/08/2025

Expiration Date

03/01/2028

City

GURNEE

State

Zip

60031

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/08/2025