SHARISSE SMITH Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007576

License Status

NOT RENEWED

Business

First Name

SHARISSE

Last Name

SMITH

Business Name

SHARISSE SMITH

Original Issue Date

02/25/2020

Effective Date

02/25/2020

Expiration Date

03/01/2022

City

CHICAGO

State

Zip

60602

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022