KATE ASHLEY SMITH Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****94

License Status

INOPERATIVE

Business

First Name

KATE

Middle

ASHLEY

Last Name

SMITH

Business Name

KATE ASHLEY SMITH

Original Issue Date

09/26/2011

Effective Date

01/25/2012

Expiration Date

03/01/2014

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

07/29/2013