SAMANTHA M BOBURKA Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****16

License Status

ACTIVE

Business

First Name

SAMANTHA

Middle

Last Name

BOBURKA

Business Name

SAMANTHA M BOBURKA

Original Issue Date

10/12/2011

Effective Date

12/08/2023

Expiration Date

03/01/2026

City

BROOKFIELD

State

Zip

60513

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025