PENNIE SMITH - Physician Assistant License in Illinois | # 085001576

PENNIE SMITH

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001576

License Status

ACTIVE

Business

N

First Name

PENNIE

Last Name

SMITH

Business Name

PENNIE SMITH

Original Issue Date

05/14/2001

Effective Date

02/17/2026

Expiration Date

03/01/2028

State

IL

Ever Disciplined

N

LastModifiedDate

02/17/2026