SAMANTHA ELISE DELEEUW Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****75

License Status

ACTIVE

Business

First Name

SAMANTHA

Middle

ELISE

Last Name

DELEEUW

Business Name

SAMANTHA ELISE DELEEUW

Original Issue Date

04/01/2025

Effective Date

02/23/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60637

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/23/2026