SAMANTHA JO KURNIK Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****30

License Status

ACTIVE

Business

First Name

SAMANTHA

Middle

Last Name

KURNIK

Business Name

SAMANTHA JO KURNIK

Original Issue Date

09/12/2017

Effective Date

12/14/2025

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60634

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/14/2025