PENNIE SMITH Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****84

License Status

ACTIVE

Business

First Name

PENNIE

Last Name

SMITH

Business Name

PENNIE SMITH

Original Issue Date

06/07/2007

Effective Date

02/17/2026

Expiration Date

03/01/2028

City

CAIRO

State

Zip

62914

County

ALEXANDER

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/17/2026