STEPHANIE ANN HEISE Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008771

License Status

ACTIVE

Business

First Name

STEPHANIE

Middle

ANN

Last Name

HEISE

Business Name

STEPHANIE ANN HEISE

Original Issue Date

12/07/2021

Effective Date

02/18/2026

Expiration Date

03/01/2028

City

FAIRVIEW

State

Zip

16415

Ever Disciplined

LastModifiedDate

02/18/2026