SAMANTHA ELISE DELEEUW Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085011092

License Status

ACTIVE

Business

First Name

SAMANTHA

Middle

ELISE

Last Name

DELEEUW

Business Name

SAMANTHA ELISE DELEEUW

Original Issue Date

01/30/2025

Effective Date

02/19/2026

Expiration Date

03/01/2028

City

HARRISON TOWNSHIP

State

Zip

48045

Ever Disciplined

LastModifiedDate

02/19/2026