CHRISTOPHER JOSEPH NESMITH Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****61

License Status

NOT RENEWED

Business

First Name

CHRISTOPHER

Middle

JOSEPH

Last Name

NESMITH

Business Name

CHRISTOPHER JOSEPH NESMITH

Original Issue Date

02/02/2016

Effective Date

01/09/2022

Expiration Date

03/01/2024

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025