KRISTIN MARIE DERUNGS Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****04

License Status

ACTIVE

Business

First Name

KRISTIN

Middle

MARIE

Last Name

DERUNGS

Business Name

KRISTIN MARIE DERUNGS

Original Issue Date

01/30/2015

Effective Date

02/28/2026

Expiration Date

03/01/2028

City

OAKBROOK TERRACE

State

Zip

60181

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/28/2026