KELLY A PERILLO Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000763

License Status

ACTIVE

Business

First Name

KELLY A

Last Name

PERILLO

Business Name

KELLY A PERILLO

Original Issue Date

02/07/1996

Effective Date

12/15/2025

Expiration Date

03/01/2028

City

WESTMONT

State

Zip

60559

County

DUPAGE

Ever Disciplined

LastModifiedDate

12/15/2025