BENJAMIN DEAN PALMER Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****88

License Status

NOT RENEWED

Business

First Name

BENJAMIN

Middle

DEAN

Last Name

PALMER

Business Name

BENJAMIN DEAN PALMER

Original Issue Date

07/24/2020

Effective Date

01/11/2021

Expiration Date

01/31/2023

City

ELGIN

State

Zip

60123

County

KANE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/31/2023