KELLY J BALLINGER Veterinarian License verification

Business Entity

CANCELLED

License Type

Veterinarian

Description

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

License Number

39*****10

License Status

CANCELLED

Business

First Name

KELLY

Middle

Last Name

BALLINGER

Business Name

KELLY J BALLINGER

Original Issue Date

07/15/2002

Effective Date

07/15/2002

Expiration Date

01/31/2005

City

SAN JOSE

State

Zip

62682

County

MASON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005