SAMANTHA JEAN PISARSKI Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****34

License Status

ACTIVE

Business

First Name

SAMANTHA

Middle

JEAN

Last Name

PISARSKI

Business Name

SAMANTHA JEAN PISARSKI

Original Issue Date

06/24/2020

Effective Date

02/13/2026

Expiration Date

03/01/2028

City

MARYVILLE

State

Zip

62062

County

MADISON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/13/2026