PEGGIE ANN SMITH - Physician Assistant License in Illinois | # 085002479

PEGGIE ANN SMITH

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002479

License Status

NOT RENEWED

Business

N

First Name

PEGGIE

Middle

ANN

Last Name

SMITH

Business Name

PEGGIE ANN SMITH

Original Issue Date

05/31/2005

Effective Date

02/11/2010

Expiration Date

03/01/2012

State

IL

Ever Disciplined

N

LastModifiedDate

04/11/2012