AMY D ANTAS

Business Entity
ACTIVE

Veterinarian

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

39*****14

ACTIVE

N

AMY

D

ANTAS

AMY D ANTAS

06/28/2007

11/01/2024

01/31/2027

ANNA

IL

62906

UNION

PRACTITIONER

II III IV V

N

11/01/2024