ELISABETH ALTA WISE Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007184

License Status

ACTIVE

Business

First Name

ELISABETH

Middle

ALTA

Last Name

WISE

Business Name

ELISABETH ALTA WISE

Original Issue Date

08/13/2019

Effective Date

01/27/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

01/27/2026