SAMANTHA MICHELLE STUCKEY Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006276

License Status

ACTIVE

Business

First Name

SAMANTHA

Middle

MICHELLE

Last Name

STUCKEY

Business Name

SAMANTHA MICHELLE STUCKEY

Original Issue Date

07/27/2017

Effective Date

01/03/2026

Expiration Date

03/01/2028

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/03/2026