RICHARD ANDREW DISANTO Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001519

License Status

ACTIVE

Business

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

City

WESTERN SPRINGS

State

Zip

60558

County

COOK

Ever Disciplined

LastModifiedDate

01/06/2026