STEPHEN P PALUMBO Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****75

License Status

INOPERATIVE

Business

First Name

STEPHEN

Middle

Last Name

PALUMBO

Business Name

STEPHEN P PALUMBO

Original Issue Date

02/10/2017

Effective Date

02/10/2017

Expiration Date

03/01/2018

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/02/2018