KATE ASHLEY SMITH Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004061

License Status

NOT RENEWED

Business

First Name

KATE

Middle

ASHLEY

Last Name

SMITH

Business Name

KATE ASHLEY SMITH

Original Issue Date

07/13/2011

Effective Date

01/25/2012

Expiration Date

03/01/2014

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

04/08/2014