CARTER A GALLICK Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085010342

License Status

ACTIVE

Business

First Name

CARTER

Middle

Last Name

GALLICK

Business Name

CARTER A GALLICK

Original Issue Date

02/03/2024

Effective Date

01/13/2026

Expiration Date

03/01/2028

City

DEKALB

State

Zip

60115

County

DEKALB

Ever Disciplined

LastModifiedDate

01/13/2026