HEIDI S HENDERSON Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002825

License Status

ACTIVE

Business

First Name

HEIDI

Middle

Last Name

HENDERSON

Business Name

HEIDI S HENDERSON

Original Issue Date

10/03/2006

Effective Date

01/05/2026

Expiration Date

03/01/2028

City

TREMONT

State

Zip

61568

County

TAZEWELL

Ever Disciplined

LastModifiedDate

01/05/2026