KIRSTIN E GALLAS Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004099

License Status

ACTIVE

Business

First Name

KIRSTIN

Middle

Last Name

GALLAS

Business Name

KIRSTIN E GALLAS

Original Issue Date

07/29/2011

Effective Date

02/13/2026

Expiration Date

03/01/2028

City

LAKE FOREST

State

Zip

60045

County

LAKE

Ever Disciplined

LastModifiedDate

02/13/2026