TOMMIE S SMITH - Physician Assistant License in Illinois | # 085002322

TOMMIE S SMITH

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002322

License Status

ACTIVE

Business

N

First Name

TOMMIE

Middle

S

Last Name

SMITH

Business Name

TOMMIE S SMITH

Original Issue Date

09/09/2004

Effective Date

02/04/2026

Expiration Date

03/01/2028

State

IL

Ever Disciplined

N

LastModifiedDate

02/04/2026