KELLY MARIE KASUM DVM Veterinarian License verification

Business Entity

NOT RENEWED

License Type

Veterinarian

Description

LICENSED VETERINARIAN

License Number

090007990

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

MARIE

Last Name

KASUM

Suffix

DVM

Business Name

KELLY MARIE KASUM DVM

Original Issue Date

07/28/1998

Effective Date

07/28/1998

Expiration Date

01/31/2001

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005