MATTHEW DAVID DEISINGER Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****62

License Status

ACTIVE

Business

First Name

MATTHEW

Middle

DAVID

Last Name

DEISINGER

Business Name

MATTHEW DAVID DEISINGER

Original Issue Date

12/15/2017

Effective Date

12/12/2025

Expiration Date

03/01/2028

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/12/2025