JESSICA SUZANNE SMITH - Physician Assistant License in Illinois | # 085003344

JESSICA SUZANNE SMITH

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003344

License Status

NOT RENEWED

Business

N

First Name

JESSICA

Middle

SUZANNE

Last Name

SMITH

Business Name

JESSICA SUZANNE SMITH

Original Issue Date

10/03/2008

Effective Date

02/25/2010

Expiration Date

03/01/2012

State

IL

Ever Disciplined

N

LastModifiedDate

04/11/2012