KRYSTAL KAY WEIAND Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****55

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

ORLAND PARK

State

Zip

60467

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025