JONNELLE DENISE SMITH Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****15

License Status

ACTIVE

Business

First Name

JONNELLE

Middle

DENISE

Last Name

SMITH

Business Name

JONNELLE DENISE SMITH

Original Issue Date

08/17/2007

Effective Date

02/13/2026

Expiration Date

03/01/2028

City

MAGNOLIA

State

Zip

61336

County

WHITESIDE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/13/2026