VIVIAN R PALMER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000529

License Status

NOT RENEWED

Business

First Name

VIVIAN R

Last Name

PALMER

Business Name

VIVIAN R PALMER

Original Issue Date

03/26/1993

Effective Date

12/23/2009

Expiration Date

03/01/2012

City

FORT MADISON

State

Zip

52627

County

IOWA

Ever Disciplined

LastModifiedDate

04/11/2012