Daphene Smith
ExpiredIllinois license 38*****90
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 38*****90
- Status
- Expired (Not Renewed)
- First issued
- June 26, 2007
- Expired
- March 1, 2020
- License holder
- Daphene Smith
- Entity type
- Individual
Classifications
- Physician Assistant Controlled Substance Physicians & Surgeons
More from the license record
- Delegated controlled substance schedules
- II III IV V
- Current term began
- 02/22/2018
Other Illinois licenses under this name
-
IL
ExpiredOlivette, MOExpired Mar 1, 2022
Contact
Washington Pk, IL 62204
Saint Clair County