AARON THOMAS SMITH Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****68

License Status

INOPERATIVE

Business

First Name

AARON

Middle

THOMAS

Last Name

SMITH

Business Name

AARON THOMAS SMITH

Original Issue Date

10/11/2016

Effective Date

02/22/2018

Expiration Date

03/01/2020

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Ever Disciplined

LastModifiedDate

12/18/2019