KELLY ELIZABETH SMYTH Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006397

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

ELIZABETH

Last Name

SMYTH

Business Name

KELLY ELIZABETH SMYTH

Original Issue Date

10/16/2017

Effective Date

01/12/2022

Expiration Date

03/01/2024

City

CHICAGO

State

Zip

60611

Ever Disciplined

LastModifiedDate

02/05/2025