MICHAEL D PALMER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****08

License Status

NOT RENEWED

Business

First Name

MICHAEL D

Last Name

PALMER

Business Name

MICHAEL D PALMER

Original Issue Date

08/27/1987

Effective Date

08/27/1987

Expiration Date

09/30/1992

City

MATTESON

State

Zip

60443

County

COOK

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

10/13/2005