SAMANTHA LEIDE Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****90

License Status

ACTIVE

Business

First Name

SAMANTHA

Last Name

LEIDE

Business Name

SAMANTHA LEIDE

Original Issue Date

09/30/2025

Effective Date

02/13/2026

Expiration Date

03/01/2028

City

WILLOWBROOK

State

Zip

60527

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/12/2026