JOSELYN MARIE PENA Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****77

License Status

ACTIVE

Business

First Name

JOSELYN

Middle

MARIE

Last Name

PENA

Business Name

JOSELYN MARIE PENA

Original Issue Date

11/18/2024

Effective Date

12/15/2025

Expiration Date

03/01/2028

City

OAK LAWN

State

Zip

60453

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/15/2025