JAY LAMONT FORSYTH Veterinarian License verification

Business Entity

NOT RENEWED

License Type

Veterinarian

Description

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

License Number

39*****01

License Status

NOT RENEWED

Business

First Name

JAY

Middle

LAMONT

Last Name

FORSYTH

Business Name

JAY LAMONT FORSYTH

Original Issue Date

01/01/1998

Effective Date

11/21/2006

Expiration Date

01/31/2009

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/17/2009