JOHN DAVID WISE Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085009449

License Status

ACTIVE

Business

First Name

JOHN

Middle

DAVID

Last Name

WISE

Business Name

JOHN DAVID WISE

Original Issue Date

12/12/2022

Effective Date

03/03/2024

Expiration Date

03/01/2026

City

HOWARD

State

Zip

54313

Ever Disciplined

LastModifiedDate

12/03/2025