KRISTIN HAAG Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****90

License Status

ACTIVE

Business

First Name

KRISTIN

Last Name

HAAG

Business Name

KRISTIN HAAG

Original Issue Date

10/16/2018

Effective Date

01/21/2026

Expiration Date

03/01/2028

City

SHELBYVILLE

State

Zip

62565

County

SHELBY

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/21/2026