SAMANTHA MARIE ZUNICH Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****82

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

MARIE

Last Name

ZUNICH

Business Name

SAMANTHA MARIE ZUNICH

Original Issue Date

09/12/2012

Effective Date

02/29/2016

Expiration Date

03/01/2018

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2018