License holder summary

SAMANTHA YATES NUCKOLS is a Medical Physician Assistant licensed to practice in Pennsylvania. The address on file for SAMANTHA YATES NUCKOLS is Chesapeake VA 23322. This licensed professional license is current. The license was granted 09/24/2015 and expired on 12/31/2016.

Pennsylvania

Department of State

SAMANTHA YATES NUCKOLS
Medical Physician Assistant
License number
MA057888
Date granted
09/24/2015
Date expires
12/31/2016
Class
Medical Physician Assistant
Status
Active
Address
Chesapeake VA 23322
palicensing.org
ID 37695471
LAST UPDATED 2026-07-11 17:53:41 UTC

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