AMY ANN SMITH Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****31

License Status

ACTIVE

Business

First Name

AMY

Middle

ANN

Last Name

SMITH

Business Name

AMY ANN SMITH

Original Issue Date

07/22/2014

Effective Date

12/05/2025

Expiration Date

03/01/2028

City

FORSYTH

State

Zip

62535

County

MACON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/05/2025