JONATHAN PAUL SMITH Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****63

License Status

ACTIVE

Business

First Name

JONATHAN

Middle

PAUL

Last Name

SMITH

Business Name

JONATHAN PAUL SMITH

Original Issue Date

11/03/2023

Effective Date

01/06/2026

Expiration Date

03/01/2028

City

DOWNERS GROVE

State

Zip

60515

County

KANE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/06/2026