KIRSTEN E FANTOM Veterinarian License verification

Business Entity

ACTIVE

License Type

Veterinarian

Description

LICENSED VETERINARIAN

License Number

090010359

License Status

ACTIVE

Business

First Name

KIRSTEN

Middle

Last Name

FANTOM

Business Name

KIRSTEN E FANTOM

Original Issue Date

05/26/2010

Effective Date

01/29/2025

Expiration Date

01/31/2027

City

SAINT JOSEPH

State

Zip

61873

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

01/29/2025