SAMANTHA CHRISTINE TAMBUNAN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****85

License Status

ACTIVE

Business

First Name

SAMANTHA

Middle

CHRISTINE

Last Name

TAMBUNAN

Business Name

SAMANTHA CHRISTINE TAMBUNAN

Original Issue Date

11/01/2022

Effective Date

01/13/2026

Expiration Date

03/01/2028

City

CARMEL

State

Zip

46033

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/13/2026