HEATHER A HOLMES Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****86

License Status

ACTIVE

Business

First Name

HEATHER

Middle

Last Name

HOLMES

Prefix

Business Name

HEATHER A HOLMES

Original Issue Date

10/06/2021

Effective Date

01/14/2024

Expiration Date

03/01/2026

City

NORTHBROOK

State

Zip

60062

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025