Daphene Smith

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

085002952

Status

Expired (Not Renewed)

First issued

March 13, 2007

Expired

March 1, 2022

License holder

Daphene Smith

Entity type

Individual

Classifications

• Licensed Physician Assistant Physicians & Surgeons

More from the license record

Current term began

03/05/2020

Ever disciplined

Yes

Discipline case

2021006290

Discipline action

Suspension

Discipline reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 12/20/2021.

Discipline dates

11/08/2021 to 12/16/2021

Other Illinois licenses under this name

• IL
  Daphene Smith

  License 38*****90

  Physician Assistant Controlled Substance
  Expired

  Washington Pk, IL

  Expired Mar 1, 2020

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