IMELDA SMITH - Physician Assistant License in Illinois | # 085004814

IMELDA SMITH

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004814

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

02/05/2025