THERESA A ROGERS-SMITH Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****22

License Status

ACTIVE

Business

First Name

THERESA

Middle

Last Name

ROGERS-SMITH

Business Name

THERESA A ROGERS-SMITH

Original Issue Date

08/03/2009

Effective Date

02/04/2026

Expiration Date

03/01/2028

City

JOHNSTON CITY

State

Zip

62951

County

WILLIAMSON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2026