SEAN MICHAEL GALLAGHER Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****00

License Status

ACTIVE

Business

First Name

SEAN

Middle

MICHAEL

Last Name

GALLAGHER

Business Name

SEAN MICHAEL GALLAGHER

Original Issue Date

03/09/2022

Effective Date

01/30/2026

Expiration Date

03/01/2028

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/30/2026