SAMANTHA WALTERS Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085011543

License Status

ACTIVE

Business

First Name

SAMANTHA

Last Name

WALTERS

Business Name

SAMANTHA WALTERS

Original Issue Date

08/08/2025

Effective Date

08/08/2025

Expiration Date

03/01/2026

City

FERNANDINA BEACH

State

Zip

32034

Ever Disciplined

LastModifiedDate

12/03/2025