REBECCA OPAL GILLILAN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006224

License Status

NOT RENEWED

Business

First Name

REBECCA

Middle

OPAL

Last Name

GILLILAN

Business Name

REBECCA OPAL GILLILAN

Original Issue Date

07/05/2017

Effective Date

02/21/2018

Expiration Date

03/01/2020

City

ARLINGTON HEIGHTS

State

Zip

60005

County

COOK

Ever Disciplined

LastModifiedDate

11/24/2020