JANESE G SMITH Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000536

License Status

NOT RENEWED

Business

First Name

JANESE G

Last Name

SMITH

Business Name

JANESE G SMITH

Original Issue Date

05/29/1993

Effective Date

05/29/1993

Expiration Date

03/01/1998

City

ASSUMPTION

State

Zip

62510

County

MACON

Ever Disciplined

LastModifiedDate

09/26/2006