ANTHONY DAVID LISUZZO Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****70

License Status

ACTIVE

Business

First Name

ANTHONY

Middle

DAVID

Last Name

LISUZZO

Business Name

ANTHONY DAVID LISUZZO

Original Issue Date

12/31/2014

Effective Date

12/28/2025

Expiration Date

03/01/2028

City

LINCOLNSHIRE

State

Zip

60069

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/28/2025