TRACY LYNN HEETLAND - Physician Assistant License in Illinois | # 085005332

TRACY LYNN HEETLAND

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005332

License Status

NOT RENEWED

Business

N

First Name

TRACY

Middle

LYNN

Last Name

HEETLAND

Business Name

TRACY LYNN HEETLAND

Original Issue Date

10/21/2014

Effective Date

02/19/2016

Expiration Date

03/01/2018

State

IL

Ever Disciplined

N

LastModifiedDate

05/10/2018