DANIELLE MARIE SMITH Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****71

License Status

ACTIVE

Business

First Name

DANIELLE

Middle

MARIE

Last Name

SMITH

Business Name

DANIELLE MARIE SMITH

Original Issue Date

02/16/2011

Effective Date

02/23/2026

Expiration Date

03/01/2028

City

PEKIN

State

Zip

61554

County

TAZEWELL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/23/2026