SAMANTHA ROSE REUTER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006480

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

ROSE

Last Name

REUTER

Business Name

SAMANTHA ROSE REUTER

Original Issue Date

01/16/2018

Effective Date

01/16/2018

Expiration Date

03/01/2020

City

ROCKFORD

State

Zip

49341

County

MICHIGAN

Ever Disciplined

LastModifiedDate

11/24/2020