SAMANTHA PINTO CONSOL Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****94

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

PINTO

Last Name

CONSOL

Business Name

SAMANTHA PINTO CONSOL

Original Issue Date

04/30/2020

Effective Date

01/05/2022

Expiration Date

03/01/2024

City

PARK RIDGE

State

Zip

60068

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025