RENATA ANNE PALMER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004970

License Status

NOT RENEWED

Business

First Name

RENATA

Middle

ANNE

Last Name

PALMER

Business Name

RENATA ANNE PALMER

Original Issue Date

12/24/2013

Effective Date

02/21/2018

Expiration Date

03/01/2020

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

11/24/2020