NATHAN KYLE HEADY Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****81

License Status

ACTIVE

Business

First Name

NATHAN

Middle

KYLE

Last Name

HEADY

Business Name

NATHAN KYLE HEADY

Original Issue Date

03/05/2019

Effective Date

02/22/2026

Expiration Date

03/01/2028

City

CARBONDALE

State

Zip

62901

County

JACKSON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/22/2026