JERRY S SMITH Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005402

License Status

ACTIVE

Business

First Name

JERRY

Middle

Last Name

SMITH

Business Name

JERRY S SMITH

Original Issue Date

02/05/2015

Effective Date

05/22/2025

Expiration Date

03/01/2026

City

PADUCAH

State

Zip

42001

Ever Disciplined

LastModifiedDate

12/03/2025