NICHOLLETTE LEE RIDER 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

NICHOLLETTE

Middle

LEE

Last Name

RIDER

Suffix

DVM

Business Name

NICHOLLETTE LEE RIDER DVM

Original Issue Date

11/17/2014

Effective Date

12/22/2016

Expiration Date

01/31/2019

City

MILAN

State

Zip

61264

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/28/2019