AMY MICHELLE SMITH Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003603

License Status

NOT RENEWED

Business

First Name

AMY

Middle

MICHELLE

Last Name

SMITH

Business Name

AMY MICHELLE SMITH

Original Issue Date

09/23/2009

Effective Date

04/21/2010

Expiration Date

03/01/2012

City

CLAYTON

State

Zip

63105

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/24/2014