SAMANTHA R CARLSON Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****93

License Status

ACTIVE

Business

First Name

SAMANTHA

Middle

Last Name

CARLSON

Business Name

SAMANTHA R CARLSON

Original Issue Date

07/10/2025

Effective Date

07/10/2025

Expiration Date

05/31/2026

City

BATAVIA

State

Zip

60510

County

KANE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026