GILLIAN MARIE MCVICAR PA Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****09

License Status

ACTIVE

Business

Title

First Name

GILLIAN

Middle

MARIE

Last Name

MCVICAR

Business Name

GILLIAN MARIE MCVICAR PA

Original Issue Date

06/11/2024

Effective Date

01/30/2026

Expiration Date

03/01/2028

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/30/2026