DAYANA MAGALIE SAMSON Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****31

License Status

ACTIVE

Business

First Name

DAYANA

Middle

MAGALIE

Last Name

SAMSON

Business Name

DAYANA MAGALIE SAMSON

Original Issue Date

10/28/2021

Effective Date

03/01/2024

Expiration Date

03/01/2026

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025