CAROLINE LUCETTE SHEPPARD Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****17

License Status

ACTIVE

Business

First Name

CAROLINE

Middle

LUCETTE

Last Name

SHEPPARD

Business Name

CAROLINE LUCETTE SHEPPARD

Original Issue Date

11/14/2017

Effective Date

01/12/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60654

County

COOK

Delegated Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

01/12/2026