SAMANTHA KEMPKIEWICZ Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****21

License Status

ACTIVE

Business

First Name

SAMANTHA

Last Name

KEMPKIEWICZ

Prefix

Business Name

SAMANTHA KEMPKIEWICZ

Original Issue Date

03/21/2022

Effective Date

02/05/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60612

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2026