SAMUEL S SIROTA Veterinarian License verification

Business Entity

NOT RENEWED

License Type

Veterinarian

Description

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

License Number

39*****07

License Status

NOT RENEWED

Business

First Name

SAMUEL

Middle

Last Name

SIROTA

Business Name

SAMUEL S SIROTA

Original Issue Date

09/25/2017

Effective Date

09/25/2017

Expiration Date

01/31/2019

City

UNIVERSITY PARK

State

Zip

60466

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/28/2019