HEATHER R LEAVERTON 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

HEATHER

Middle

Last Name

LEAVERTON

Business Name

HEATHER R LEAVERTON

Original Issue Date

06/07/2006

Effective Date

06/07/2006

Expiration Date

01/31/2007

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Specialty/Qualifier

HOSPITAL/CLINIC

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/16/2007