KRISTIN MARIE DERUNGS Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005320

License Status

ACTIVE

Business

First Name

KRISTIN

Middle

MARIE

Last Name

DERUNGS

Business Name

KRISTIN MARIE DERUNGS

Original Issue Date

10/16/2014

Effective Date

02/28/2026

Expiration Date

03/01/2028

City

CROWN POINT

State

Zip

46307

Ever Disciplined

LastModifiedDate

02/28/2026