KRYSTAL KAY WEIAND Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006378

License Status

ACTIVE

Business

First Name

KRYSTAL

Middle

KAY

Last Name

WEIAND

Business Name

KRYSTAL KAY WEIAND

Original Issue Date

10/03/2017

Effective Date

12/03/2025

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

12/03/2025