HEATHER ROSE VAN DUYS Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****81

License Status

INOPERATIVE

Business

First Name

HEATHER

Middle

ROSE

Last Name

VAN DUYS

Business Name

HEATHER ROSE VAN DUYS

Original Issue Date

11/22/2013

Effective Date

02/25/2016

Expiration Date

03/01/2018

City

ZION

State

Zip

60099

County

LAKE

Ever Disciplined

LastModifiedDate

05/02/2018