KATIE ANITA GILLIES Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****66

License Status

ACTIVE

Business

First Name

KATIE

Middle

ANITA

Last Name

GILLIES

Business Name

KATIE ANITA GILLIES

Original Issue Date

12/20/2017

Effective Date

02/15/2026

Expiration Date

03/01/2028

City

LOMBARD

State

Zip

60148

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/15/2026