SHELLY DANIELLE WOODRUM Veterinarian License verification

Business Entity

NOT RENEWED

License Type

Veterinarian

Description

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

License Number

39*****03

License Status

NOT RENEWED

Business

First Name

SHELLY

Middle

DANIELLE

Last Name

WOODRUM

Business Name

SHELLY DANIELLE WOODRUM

Original Issue Date

05/12/2011

Effective Date

11/13/2012

Expiration Date

01/31/2015

City

GLEN CARBON

State

Zip

62034

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/09/2015