SAMANTHA J SHADE Veterinarian License verification

Business Entity

ACTIVE

License Type

Veterinarian

Description

CERTIFIED VETERINARY TECHNICIAN

License Number

095002863

License Status

ACTIVE

Business

First Name

SAMANTHA

Middle

Last Name

SHADE

Business Name

SAMANTHA J SHADE

Original Issue Date

01/27/2017

Effective Date

01/18/2025

Expiration Date

01/31/2027

City

ROCKFORD

State

Zip

61101

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/18/2025