SAMANTHA J HOLSTI Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****03

License Status

ACTIVE

Business

First Name

SAMANTHA

Middle

Last Name

HOLSTI

Business Name

SAMANTHA J HOLSTI

Original Issue Date

10/13/2005

Effective Date

12/03/2025

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60637

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025