DIANE C HEANEY PA-C Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007441

License Status

ACTIVE

Business

Title

PA-C

First Name

DIANE

Middle

Last Name

HEANEY

Business Name

DIANE C HEANEY PA-C

Original Issue Date

11/13/2019

Effective Date

12/22/2025

Expiration Date

03/01/2028

City

GREENPORT

State

Zip

11944

Ever Disciplined

LastModifiedDate

12/22/2025