HEATHER N HEINEMAN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****56

License Status

ACTIVE

Business

First Name

HEATHER

Middle

Last Name

HEINEMAN

Business Name

HEATHER N HEINEMAN

Original Issue Date

02/08/2019

Effective Date

02/13/2026

Expiration Date

03/01/2028

City

BELLEVILLE

State

Zip

62226

County

SAINT CLAIR

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/13/2026