CARTER A GALLICK Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****48

License Status

ACTIVE

Business

First Name

CARTER

Middle

Last Name

GALLICK

Business Name

CARTER A GALLICK

Original Issue Date

03/27/2024

Effective Date

01/13/2026

Expiration Date

03/01/2028

City

ROCHELLE

State

Zip

61068

County

OGLE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/24/2026