LESLIE ROBERTS M SHIVE 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

LESLIE ROBERTS M

Last Name

SHIVE

Business Name

LESLIE ROBERTS M SHIVE

Original Issue Date

09/14/1981

Effective Date

09/14/1981

Expiration Date

01/31/1991

City

SYCAMORE

State

Zip

60178

County

DEKALB

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/16/2005