REBECCA OPAL GILLILAN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****82

License Status

NOT RENEWED

Business

First Name

REBECCA

Middle

OPAL

Last Name

GILLILAN

Business Name

REBECCA OPAL GILLILAN

Original Issue Date

08/01/2017

Effective Date

02/21/2018

Expiration Date

03/01/2020

City

ARLINGTON HEIGHTS

State

Zip

60005

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/24/2020