DEBRA R SMALLEY Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****51

License Status

ACTIVE

Business

First Name

DEBRA

Middle

Last Name

SMALLEY

Business Name

DEBRA R SMALLEY

Original Issue Date

12/08/2017

Effective Date

01/22/2026

Expiration Date

03/01/2028

City

BOLINGBROOK

State

Zip

60440

County

WINNEBAGO

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/22/2026