ERIC C PALMQUIST DPM Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005313

License Status

INACTIVE

Business

First Name

ERIC

Middle

Last Name

PALMQUIST

Suffix

DPM

Business Name

ERIC C PALMQUIST DPM

Original Issue Date

09/06/2006

Effective Date

12/16/2010

Expiration Date

01/31/2013

City

ELKHORN

State

Zip

68022

County

DOUGLAS

Ever Disciplined

LastModifiedDate

11/08/2012