DONALD O DIEMER Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****05

License Status

ACTIVE

Business

First Name

DONALD

Middle

Last Name

DIEMER

Business Name

DONALD O DIEMER

Original Issue Date

10/03/2011

Effective Date

12/15/2025

Expiration Date

03/01/2028

City

ANNA

State

Zip

62906

County

UNION

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/15/2025