HEATHER B MARTIN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****98

License Status

ACTIVE

Business

First Name

HEATHER

Middle

Last Name

MARTIN

Business Name

HEATHER B MARTIN

Original Issue Date

08/28/2014

Effective Date

07/03/2024

Expiration Date

03/01/2026

City

BIGFORK

State

Zip

59911

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025