LEESA ERIN GILLOOLEY Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****12

License Status

ACTIVE

Business

First Name

LEESA

Middle

ERIN

Last Name

GILLOOLEY

Business Name

LEESA ERIN GILLOOLEY

Original Issue Date

01/15/2009

Effective Date

12/03/2025

Expiration Date

03/01/2028

City

BELVIDERE

State

Zip

61008

County

BOONE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025