GABRIELLE ANNE SMITH Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****18

License Status

ACTIVE

Business

First Name

GABRIELLE

Middle

ANNE

Last Name

SMITH

Business Name

GABRIELLE ANNE SMITH

Original Issue Date

12/18/2020

Effective Date

02/17/2024

Expiration Date

03/01/2026

City

RIVER FOREST

State

Zip

60305

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025