SAMANTHA SISCO Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****00

License Status

ACTIVE

Business

First Name

SAMANTHA

Last Name

SISCO

Business Name

SAMANTHA SISCO

Original Issue Date

01/15/2026

Effective Date

01/15/2026

Expiration Date

05/31/2026

City

FAIRFIELD

State

Zip

62837

County

WAYNE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026