ERIC C PALMQUIST DPM - Podiatrist License in Nebraska | # 31*****22

ERIC C PALMQUIST DPM

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****22

License Status

INACTIVE

Business

N

First Name

ERIC

Middle

C

Last Name

PALMQUIST

Suffix

DPM

Business Name

ERIC C PALMQUIST DPM

Original Issue Date

10/03/2006

Effective Date

12/21/2010

Expiration Date

01/31/2013

State

NE

Specialty/Qualifier

PHARM DISTRIBUTOR

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

11/08/2012