ANGELA NICOLE GILLESPIE Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****67

License Status

ACTIVE

Business

First Name

ANGELA

Middle

NICOLE

Last Name

GILLESPIE

Business Name

ANGELA NICOLE GILLESPIE

Original Issue Date

07/13/2010

Effective Date

02/03/2026

Expiration Date

03/01/2028

City

MACKINAW

State

Zip

61755

County

TAZEWELL

Ever Disciplined

LastModifiedDate

02/03/2026