KEITH DANIEL KRIESBERG - Physician Assistant License in Illinois | # 085005853

KEITH DANIEL KRIESBERG

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005853

License Status

ACTIVE

Business

N

First Name

KEITH

Middle

DANIEL

Last Name

KRIESBERG

Business Name

KEITH DANIEL KRIESBERG

Original Issue Date

06/28/2016

Effective Date

01/16/2024

Expiration Date

03/01/2026

State

IL

Ever Disciplined

N

LastModifiedDate

12/03/2025