SAMANTHA BETH WAITZMAN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****98

License Status

ACTIVE

Business

First Name

SAMANTHA

Middle

BETH

Last Name

WAITZMAN

Business Name

SAMANTHA BETH WAITZMAN

Original Issue Date

02/02/2018

Effective Date

03/12/2026

Expiration Date

03/01/2028

City

DEERFIELD

State

Zip

60015

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/12/2026

Case Number

2019003610

Action

Suspension

Discipline Start Date

10/19/2021

Discipline End Date

11/18/2021

Discipline Reason

controlled substance licensed suspended for 30 days for utilizing her license to obtain medication for personal use.