SELINA MARIE CARPENTER Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****96

License Status

ACTIVE

Business

First Name

SELINA

Middle

MARIE

Last Name

CARPENTER

Business Name

SELINA MARIE CARPENTER

Original Issue Date

02/14/2003

Effective Date

01/08/2026

Expiration Date

03/01/2028

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/08/2026