SAMANTHA PAIGE HERRIN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****66

License Status

ACTIVE

Business

First Name

SAMANTHA

Middle

PAIGE

Last Name

HERRIN

Business Name

SAMANTHA PAIGE HERRIN

Original Issue Date

10/25/2022

Effective Date

12/03/2025

Expiration Date

03/01/2028

City

CARBONDALE

State

Zip

62901

County

JACKSON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2026