JOHN DAVID WISE Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****93

License Status

ACTIVE

Business

First Name

JOHN

Middle

DAVID

Last Name

WISE

Business Name

JOHN DAVID WISE

Original Issue Date

11/28/2023

Effective Date

03/06/2024

Expiration Date

03/01/2026

City

GURNEE

State

Zip

60031

County

LAKE

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

12/03/2025