Krista Diane Niezwaag

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

085005134

Status

Expired (Not Renewed)

First issued

August 8, 2014

Expired

March 1, 2022

License holder

Krista Diane Niezwaag

Entity type

Individual

Classifications

• Licensed Physician Assistant Physicians & Surgeons

More from the license record

Current term began

02/05/2020

Other Illinois licenses under this name

• IL
  Krista Diane Niezwaag

  License 38*****25

  Physician Assistant Controlled Substance
  Expired

  Dixon, IL

  Expired Mar 1, 2020

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