STEPHANIE ANN HEISE Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****13

License Status

ACTIVE

Business

First Name

STEPHANIE

Middle

ANN

Last Name

HEISE

Business Name

STEPHANIE ANN HEISE

Original Issue Date

10/08/2025

Effective Date

02/18/2026

Expiration Date

03/01/2028

City

CRESTWOOD

State

Zip

60418

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/18/2026