STEPHEN DOUGLAS PALMER DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****02

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

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/28/2019