AMY ANN SMITH Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005048

License Status

ACTIVE

Business

First Name

AMY

Middle

ANN

Last Name

SMITH

Business Name

AMY ANN SMITH

Original Issue Date

05/08/2014

Effective Date

12/05/2025

Expiration Date

03/01/2028

City

FORSYTH

State

Zip

62535

County

MACON

Ever Disciplined

LastModifiedDate

12/05/2025