ARTIST DERRELL ELKINS Veterinarian License verification

Business Entity

NOT RENEWED

License Type

Veterinarian

Description

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

License Number

39*****04

License Status

NOT RENEWED

Business

First Name

ARTIST DERRELL

Last Name

ELKINS

Business Name

ARTIST DERRELL ELKINS

Original Issue Date

07/26/2016

Effective Date

07/26/2016

Expiration Date

01/31/2017

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

03/27/2017