LACEY ANNETTE SUMMERVILLE Veterinarian License verification

Business Entity

ACTIVE

License Type

Veterinarian

Description

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

License Number

39*****09

License Status

ACTIVE

Business

First Name

LACEY

Middle

ANNETTE

Last Name

SUMMERVILLE

Business Name

LACEY ANNETTE SUMMERVILLE

Original Issue Date

08/21/2025

Effective Date

08/21/2025

Expiration Date

01/31/2027

City

IUKA

State

Zip

62849

County

MARION

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/21/2025