JEREMY STEWART PALMER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****54

License Status

NOT RENEWED

Business

First Name

JEREMY

Middle

STEWART

Last Name

PALMER

Business Name

JEREMY STEWART PALMER

Original Issue Date

10/13/2015

Effective Date

03/16/2016

Expiration Date

03/01/2018

City

CHICAGO

State

Zip

60602

County

COOK

Ever Disciplined

LastModifiedDate

07/16/2018