STACY A HEILER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****64

License Status

NOT RENEWED

Business

First Name

STACY

Middle

Last Name

HEILER

Business Name

STACY A HEILER

Original Issue Date

02/07/2011

Effective Date

02/07/2011

Expiration Date

03/01/2012

City

ROBINSON

State

Zip

62454

County

CRAWFORD

Ever Disciplined

LastModifiedDate

04/16/2012