JOSEPH GREGORY WISTER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003261

License Status

NOT RENEWED

Business

First Name

JOSEPH

Middle

GREGORY

Last Name

WISTER

Business Name

JOSEPH GREGORY WISTER

Original Issue Date

07/31/2008

Effective Date

03/06/2012

Expiration Date

03/01/2014

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

12/23/2015