SAMANTHA J HOLSTI Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002595

License Status

ACTIVE

Business

First Name

SAMANTHA

Middle

Last Name

HOLSTI

Business Name

SAMANTHA J HOLSTI

Original Issue Date

09/27/2005

Effective Date

12/03/2025

Expiration Date

03/01/2028

City

CEDAR LAKE

State

Zip

46303

County

LAKE

Ever Disciplined

LastModifiedDate

12/03/2025