BARRY L SMELTZER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****89

License Status

NOT RENEWED

Business

First Name

BARRY

Middle

Last Name

SMELTZER

Business Name

BARRY L SMELTZER

Original Issue Date

08/09/2002

Effective Date

12/14/2007

Expiration Date

03/01/2010

City

WINFIELD

State

Zip

60190

County

DUPAGE

Ever Disciplined

LastModifiedDate

02/10/2011