KIMBERLY LYNN PALMER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****71

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

LYNN

Last Name

PALMER

Business Name

KIMBERLY LYNN PALMER

Original Issue Date

12/26/2002

Effective Date

12/26/2002

Expiration Date

03/01/2006

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006