JOHN G SMITH Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000457

License Status

INACTIVE

Business

First Name

JOHN G

Last Name

SMITH

Business Name

JOHN G SMITH

Original Issue Date

07/02/1991

Effective Date

07/02/1991

Expiration Date

03/01/1992

City

DOVER FOXCROFT

State

Zip

04426

County

MAINE

Ever Disciplined

LastModifiedDate

09/26/2006