CLAUDIA LOUISE GALLAGHER Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****51

License Status

INOPERATIVE

Business

First Name

CLAUDIA

Middle

LOUISE

Last Name

GALLAGHER

Business Name

CLAUDIA LOUISE GALLAGHER

Original Issue Date

01/10/2011

Effective Date

02/26/2016

Expiration Date

03/01/2018

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/02/2018