JOSEPH GREGORY WISTER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****75

License Status

NOT RENEWED

Business

First Name

JOSEPH

Middle

GREGORY

Last Name

WISTER

Business Name

JOSEPH GREGORY WISTER

Original Issue Date

05/21/2009

Effective Date

03/14/2012

Expiration Date

03/01/2014

City

SILVIS

State

Zip

61282

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

12/23/2015