KELLY C BALLANTYNE Veterinarian License verification

Business Entity

NOT RENEWED

License Type

Veterinarian

Description

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

License Number

39*****12

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

BALLANTYNE

Business Name

KELLY C BALLANTYNE

Original Issue Date

02/16/2012

Effective Date

01/09/2017

Expiration Date

01/31/2019

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

03/28/2019