SAMANTHA MARIE ZUNICH Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004384

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

MARIE

Last Name

ZUNICH

Business Name

SAMANTHA MARIE ZUNICH

Original Issue Date

08/06/2012

Effective Date

02/29/2016

Expiration Date

03/01/2018

City

CHICAGO

State

Zip

60629

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2018