DAVID KEITH WALLACE 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

DAVID KEITH

Last Name

WALLACE

Business Name

DAVID KEITH WALLACE

Original Issue Date

01/01/1998

Expiration Date

03/31/1982

City

PETERSBURG

State

Zip

62675

County

MENARD

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/16/2005