Krista Diane Niezwaag

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

38*****25

Status

Expired (Not Renewed)

First issued

September 11, 2014

Expired

March 1, 2020

License holder

Krista Diane Niezwaag

Entity type

Individual

Classifications

• Physician Assistant Controlled Substance Physicians & Surgeons

More from the license record

Delegated controlled substance schedules

II III IV V

Current term began

03/12/2018

Other Illinois licenses under this name

• IL
  Krista Diane Niezwaag

  License 085005134

  Licensed Physician Assistant
  Expired

  Boise, ID

  Expired Mar 1, 2022

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