ELISABETH ALTA WISE - Physician Assistant License in Illinois | # 085007184

ELISABETH ALTA WISE

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007184

License Status

ACTIVE

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

01/27/2026