JACOB STEVEN SMITH Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****39

License Status

ACTIVE

Business

First Name

JACOB

Middle

STEVEN

Last Name

SMITH

Business Name

JACOB STEVEN SMITH

Original Issue Date

09/15/2021

Effective Date

01/31/2026

Expiration Date

03/01/2028

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/31/2026