ROBERT RUSSELL SMITH - Physician Assistant License in Illinois | # 085000270

ROBERT RUSSELL SMITH

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000270

License Status

NOT RENEWED

Business

N

First Name

ROBERT RUSSELL

Last Name

SMITH

Business Name

ROBERT RUSSELL SMITH

Original Issue Date

04/12/1984

Effective Date

04/12/1984

Expiration Date

03/01/1994

State

IL

Ever Disciplined

N

LastModifiedDate

09/26/2006