ROGER R SMITH - Physician Assistant License in Illinois | # 085000789

ROGER R SMITH

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000789

License Status

ACTIVE

Business

N

First Name

ROGER

Middle

R

Last Name

SMITH

Business Name

ROGER R SMITH

Original Issue Date

03/07/1996

Effective Date

12/08/2023

Expiration Date

03/01/2026

State

IL

Ever Disciplined

N

LastModifiedDate

12/03/2025