PETER PALMER VIENNE DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

ACTIVE

Business

First Name

PETER PALMER

Last Name

VIENNE

Suffix

Business Name

PETER PALMER VIENNE DO

Original Issue Date

08/16/1991

Effective Date

04/21/2023

Expiration Date

07/31/2026

City

MORRIS

State

Zip

60450

County

GRUNDY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/21/2023