ALYSON L SMITH Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****29

License Status

NOT RENEWED

Business

First Name

ALYSON

Middle

Last Name

SMITH

Business Name

ALYSON L SMITH

Original Issue Date

03/20/2001

Effective Date

01/15/2014

Expiration Date

03/01/2016

City

ORLAND PARK

State

Zip

60467

County

COOK

Ever Disciplined

LastModifiedDate

11/04/2016