BETTY RAE THERIAULT DVM Veterinarian License verification

Business Entity

NOT RENEWED

License Type

Veterinarian

Description

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

License Number

39*****02

License Status

NOT RENEWED

Business

First Name

BETTY

Middle

RAE

Last Name

THERIAULT

Suffix

DVM

Business Name

BETTY RAE THERIAULT DVM

Original Issue Date

08/16/1999

Effective Date

12/12/2018

Expiration Date

01/31/2021

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/11/2021