Podiatrist

LICENSED PODIATRY CONTROLLED SUBSTANCE

31*****22

INACTIVE

N

ERIC

C

PALMQUIST

DPM

ERIC C PALMQUIST DPM

10/03/2006

12/21/2010

01/31/2013

ELKHORN

NE

68022

DOUGLAS

PHARM DISTRIBUTOR

II III IV V

N

11/08/2012