SAMANTHA LYNN CARRUTHERS Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****23

License Status

ACTIVE

Business

First Name

SAMANTHA

Middle

LYNN

Last Name

CARRUTHERS

Business Name

SAMANTHA LYNN CARRUTHERS

Original Issue Date

08/03/2023

Effective Date

02/08/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60641

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2026