SAMUEL PAIK Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****48

License Status

NOT RENEWED

Business

First Name

SAMUEL

Last Name

PAIK

Business Name

SAMUEL PAIK

Original Issue Date

08/26/2013

Effective Date

03/15/2018

Expiration Date

03/01/2020

City

BUENA PARK

State

Zip

90621

County

CALIFORNIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/24/2020