License holder summary

SKRUTVOLD, SAMANTHA LEIGH is a Medical - Physician Assistant licensed to practice in Georgia. The address on file for SKRUTVOLD, SAMANTHA LEIGH is 5979 DESERT STORM AVE., FORT CAMPBELL 42223. This doctor license is current. The license was granted 04/08/2014 and expired on 01/31/2018.

Georgia

Composite Medical Board

SKRUTVOLD, SAMANTHA LEIGH
Medical - Physician Assistant
License number
007141
Date granted
04/08/2014
Date expires
01/31/2018
Class
Medical - Physician Assistant
Status
Active
Address
5979 DESERT STORM AVE.
georgiadoctors.net
ID 38101586
LAST UPDATED 2026-05-10 06:22:22 UTC

This website is unaffiliated with the Composite Medical Board. Please verify all information directly with the relevant official government authority.

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