KATLYN ANN SMITH Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085009225

License Status

ACTIVE

Business

First Name

KATLYN

Middle

ANN

Last Name

SMITH

Business Name

KATLYN ANN SMITH

Original Issue Date

08/24/2022

Effective Date

02/25/2024

Expiration Date

03/01/2026

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

12/03/2025