LEESA ERIN GILLOOLEY Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003368

License Status

ACTIVE

Business

First Name

LEESA

Middle

ERIN

Last Name

GILLOOLEY

Business Name

LEESA ERIN GILLOOLEY

Original Issue Date

10/22/2008

Effective Date

12/03/2025

Expiration Date

03/01/2028

City

BELVIDERE

State

Zip

61008

County

BOONE

Ever Disciplined

LastModifiedDate

12/03/2025