MELISSA JOY PALMER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****13

License Status

NOT RENEWED

Business

First Name

MELISSA

Middle

JOY

Last Name

PALMER

Business Name

MELISSA JOY PALMER

Original Issue Date

03/23/2010

Effective Date

03/23/2010

Expiration Date

03/01/2012

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

04/11/2012