GWYNETH KELLEHER Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085011293

License Status

ACTIVE

Business

First Name

GWYNETH

Last Name

KELLEHER

Business Name

GWYNETH KELLEHER

Original Issue Date

06/24/2025

Effective Date

01/09/2026

Expiration Date

03/01/2028

City

HARTFORD

State

Zip

06103

Ever Disciplined

LastModifiedDate

02/10/2026