JOSEPH GREGORY WISTER - Physician Assistant License in Illinois | # 085003261

JOSEPH GREGORY WISTER

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003261

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

12/23/2015