JEREMY DALE PALMER Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****67

License Status

ACTIVE

Business

First Name

JEREMY

Middle

DALE

Last Name

PALMER

Business Name

JEREMY DALE PALMER

Original Issue Date

10/27/2004

Effective Date

01/30/2026

Expiration Date

03/01/2028

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/30/2026