STEPHEN DOUGLAS PALMER DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005644

License Status

NOT RENEWED

Business

Title

DPM

First Name

STEPHEN

Middle

DOUGLAS

Last Name

PALMER

Business Name

STEPHEN DOUGLAS PALMER DPM

Original Issue Date

04/03/2015

Effective Date

01/26/2017

Expiration Date

01/31/2019

City

DIXON

State

Zip

61021

County

LEE

Ever Disciplined

LastModifiedDate

03/28/2019