MEGGAN MICHELLE SMITH Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****16

License Status

ACTIVE

Business

First Name

MEGGAN

Middle

MICHELLE

Last Name

SMITH

Business Name

MEGGAN MICHELLE SMITH

Original Issue Date

05/25/2023

Effective Date

02/17/2026

Expiration Date

03/01/2028

City

MARYVILLE

State

Zip

62062

County

MADISON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/17/2026