SCOTT RICHARD HEELAN 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

SCOTT

Middle

RICHARD

Last Name

HEELAN

Business Name

SCOTT RICHARD HEELAN

Original Issue Date

07/13/2018

Effective Date

12/16/2025

Expiration Date

03/01/2028

City

KENOSHA

State

Zip

53142

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/16/2025