KIRSTIN E GALLAS Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****23

License Status

ACTIVE

Business

First Name

KIRSTIN

Middle

Last Name

GALLAS

Business Name

KIRSTIN E GALLAS

Original Issue Date

10/14/2011

Effective Date

02/13/2026

Expiration Date

03/01/2028

City

LAKE FOREST

State

Zip

60045

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/13/2026