Samantha K Black

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

085005831

Status

Expired (Not Renewed)

First issued

May 17, 2016

Expired

March 1, 2022

License holder

Samantha K Black

Entity type

Individual

Classifications

• Licensed Physician Assistant Physicians & Surgeons

More from the license record

Current term began

02/12/2020

Other Illinois licenses under this name

• IL
  Samantha K Black

  License 38*****20

  Physician Assistant Controlled Substance
  Expired

  Chicago, IL

  Expired Mar 1, 2022

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