RICHARD ANDREW DISANTO Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****00

License Status

ACTIVE

Business

First Name

RICHARD

Middle

ANDREW

Last Name

DISANTO

Business Name

RICHARD ANDREW DISANTO

Original Issue Date

12/27/2006

Effective Date

01/06/2026

Expiration Date

03/01/2028

City

BOLINGBROOK

State

Zip

60440

County

WILL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/06/2026