DINA A BASCHARON DVM Veterinarian License verification

Business Entity

NOT RENEWED

License Type

Veterinarian

Description

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

License Number

39*****14

License Status

NOT RENEWED

Business

First Name

DINA

Middle

Last Name

BASCHARON

Suffix

DVM

Business Name

DINA A BASCHARON DVM

Original Issue Date

07/15/2002

Effective Date

07/15/2002

Expiration Date

01/31/2005

City

HANOVER PARK

State

Zip

60103

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005