MICHAEL JOHN HEISE Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****78

License Status

ACTIVE

Business

First Name

MICHAEL

Middle

JOHN

Last Name

HEISE

Business Name

MICHAEL JOHN HEISE

Original Issue Date

04/21/2014

Effective Date

01/27/2026

Expiration Date

03/01/2028

City

MATTOON

State

Zip

61938

County

COLES

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/27/2026