RICHARD ANDREW DISANTO - Physician Assistant License in Illinois | # 085001519

RICHARD ANDREW DISANTO

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001519

License Status

ACTIVE

Business

N

First Name

RICHARD

Middle

ANDREW

Last Name

DISANTO

Business Name

RICHARD ANDREW DISANTO

Original Issue Date

12/12/2000

Effective Date

01/06/2026

Expiration Date

03/01/2028

State

IL

Ever Disciplined

N

LastModifiedDate

01/06/2026