MATTHEW DAVID DEISINGER Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006445

License Status

ACTIVE

Business

First Name

MATTHEW

Middle

DAVID

Last Name

DEISINGER

Business Name

MATTHEW DAVID DEISINGER

Original Issue Date

11/08/2017

Effective Date

12/12/2025

Expiration Date

03/01/2028

City

LINDENHURST

State

Zip

60046

County

LAKE

Ever Disciplined

LastModifiedDate

12/12/2025