JACOB STEVEN SMITH Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008559

License Status

ACTIVE

Business

First Name

JACOB

Middle

STEVEN

Last Name

SMITH

Business Name

JACOB STEVEN SMITH

Original Issue Date

08/23/2021

Effective Date

01/31/2026

Expiration Date

03/01/2028

City

BLOOMINGTON

State

Zip

61704

Ever Disciplined

LastModifiedDate

01/31/2026