RENATA ANNE PALMER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****59

License Status

NOT RENEWED

Business

First Name

RENATA

Middle

ANNE

Last Name

PALMER

Business Name

RENATA ANNE PALMER

Original Issue Date

03/20/2014

Effective Date

02/21/2018

Expiration Date

03/01/2020

City

CHICAGO

State

Zip

60608

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/24/2020