STACY THERESE HEITZ Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008685

License Status

ACTIVE

Business

First Name

STACY

Middle

THERESE

Last Name

HEITZ

Business Name

STACY THERESE HEITZ

Original Issue Date

10/07/2021

Effective Date

02/27/2026

Expiration Date

03/01/2028

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

02/27/2026