MICHAEL JOHN HEISE Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004872

License Status

ACTIVE

Business

First Name

MICHAEL

Middle

JOHN

Last Name

HEISE

Business Name

MICHAEL JOHN HEISE

Original Issue Date

10/11/2013

Effective Date

01/27/2026

Expiration Date

03/01/2028

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

01/27/2026