NICHOLLETTE LEE RIDER DVM Veterinarian License verification

Business Entity

ACTIVE

License Type

Veterinarian

Description

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

License Number

39*****08

License Status

ACTIVE

Business

First Name

NICHOLLETTE

Middle

LEE

Last Name

RIDER

Suffix

DVM

Business Name

NICHOLLETTE LEE RIDER DVM

Original Issue Date

11/22/2019

Effective Date

01/01/2025

Expiration Date

01/31/2027

City

TAYLOR RIDGE

State

Zip

61284

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/01/2025