BROOKE CARROLL Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****89

License Status

ACTIVE

Business

First Name

BROOKE

Last Name

CARROLL

Business Name

BROOKE CARROLL

Original Issue Date

08/13/2024

Effective Date

03/02/2026

Expiration Date

03/01/2028

City

EVERGREEN PARK

State

Zip

60805

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026