L CHERIE PALM - Physician Assistant License in Indiana | # 085000817

L CHERIE PALM

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000817

License Status

NOT RENEWED

Business

N

First Name

L CHERIE

Last Name

PALM

Business Name

L CHERIE PALM

Original Issue Date

09/09/1996

Effective Date

09/09/1996

Expiration Date

03/01/1998

State

IN

Ever Disciplined

N

LastModifiedDate

09/26/2006