IMELDA SMITH Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004814

License Status

NOT RENEWED

Business

First Name

IMELDA

Last Name

SMITH

Business Name

IMELDA SMITH

Original Issue Date

09/05/2013

Effective Date

01/09/2022

Expiration Date

03/01/2024

City

WINDFIELD

State

Zip

60190

County

DUPAGE

Ever Disciplined

LastModifiedDate

02/05/2025