ANTHONY DAVID LISUZZO Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005363

License Status

ACTIVE

Business

First Name

ANTHONY

Middle

DAVID

Last Name

LISUZZO

Business Name

ANTHONY DAVID LISUZZO

Original Issue Date

12/08/2014

Effective Date

12/28/2025

Expiration Date

03/01/2028

City

LINCOLNSHIRE

State

Zip

60069

Ever Disciplined

LastModifiedDate

12/28/2025