KELLY C BALLANTYNE Veterinarian License verification

Business Entity

ACTIVE

License Type

Veterinarian

Description

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

License Number

39*****04

License Status

ACTIVE

Business

First Name

KELLY

Middle

Last Name

BALLANTYNE

Business Name

KELLY C BALLANTYNE

Original Issue Date

06/05/2009

Effective Date

12/20/2024

Expiration Date

01/31/2027

City

CHICAGO

State

Zip

60647

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/20/2024