STEPHEN P PALUMBO Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006130

License Status

NOT RENEWED

Business

First Name

STEPHEN

Middle

Last Name

PALUMBO

Business Name

STEPHEN P PALUMBO

Original Issue Date

02/10/2017

Effective Date

02/10/2017

Expiration Date

03/01/2018

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/10/2018