HEATHER JEAN KOHOUT Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****36

License Status

ACTIVE

Business

First Name

HEATHER

Middle

JEAN

Last Name

KOHOUT

Business Name

HEATHER JEAN KOHOUT

Original Issue Date

06/09/2006

Effective Date

02/10/2026

Expiration Date

03/01/2028

City

METAMORA

State

Zip

61548

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/10/2026