MIZUE WAGNER DVM Veterinarian License verification

Business Entity

NOT RENEWED

License Type

Veterinarian

Description

LICENSED VETERINARIAN

License Number

090009071

License Status

NOT RENEWED

Business

First Name

MIZUE

Last Name

WAGNER

Suffix

DVM

Business Name

MIZUE WAGNER DVM

Original Issue Date

06/07/2004

Effective Date

01/31/2005

Expiration Date

01/31/2007

City

NAPERVILLE

State

Zip

60563

County

DUPAGE

Ever Disciplined

LastModifiedDate

08/02/2007