TOMMIE S SMITH Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****68

License Status

ACTIVE

Business

First Name

TOMMIE

Middle

Last Name

SMITH

Business Name

TOMMIE S SMITH

Original Issue Date

10/29/2004

Effective Date

02/04/2026

Expiration Date

03/01/2028

City

DESOTO

State

Zip

62924

County

JACKSON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2026