SAMANTHA MICHELLE STUCKEY Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****58

License Status

ACTIVE

Business

First Name

SAMANTHA

Middle

MICHELLE

Last Name

STUCKEY

Business Name

SAMANTHA MICHELLE STUCKEY

Original Issue Date

10/03/2017

Effective Date

01/03/2026

Expiration Date

03/01/2028

City

DES PLAINES

State

Zip

60018

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/03/2026