JOY LORAINE SMITH Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****23

License Status

INOPERATIVE

Business

First Name

JOY

Middle

LORAINE

Last Name

SMITH

Business Name

JOY LORAINE SMITH

Original Issue Date

12/08/2015

Effective Date

12/08/2015

Expiration Date

03/01/2018

City

PALOS HILLS

State

Zip

60465

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2018