LORI IRENE SAMPLE DVM 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

LORI

Middle

IRENE

Last Name

SAMPLE

Suffix

DVM

Business Name

LORI IRENE SAMPLE DVM

Original Issue Date

08/05/2004

Effective Date

11/21/2006

Expiration Date

01/31/2009

City

NAPERVILLE

State

Zip

60564

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/17/2009