KATLYN ANN SMITH Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****62

License Status

ACTIVE

Business

First Name

KATLYN

Middle

ANN

Last Name

SMITH

Business Name

KATLYN ANN SMITH

Original Issue Date

12/09/2022

Effective Date

02/25/2024

Expiration Date

03/01/2026

City

ALTON

State

Zip

62002

County

MADISON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025