CARRIE RENEE SMITH - Physician Assistant License in Illinois | # 085003827

CARRIE RENEE SMITH

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003827

License Status

NOT RENEWED

Business

N

First Name

CARRIE

Middle

RENEE

Last Name

SMITH

Business Name

CARRIE RENEE SMITH

Original Issue Date

08/19/2010

Effective Date

01/22/2014

Expiration Date

03/01/2016

State

IL

Ever Disciplined

N

LastModifiedDate

04/28/2016