BENJAMIN DEAN PALMER Podiatrist License verification

Business Entity

CANCELLED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000951

License Status

CANCELLED

Business

First Name

BENJAMIN

Middle

DEAN

Last Name

PALMER

Business Name

BENJAMIN DEAN PALMER

Original Issue Date

05/26/2017

Effective Date

06/25/2017

Expiration Date

06/25/2020

City

CLARKSVILLE

State

Zip

37043

Ever Disciplined

LastModifiedDate

05/08/2017