KEITH EDWARD ANDERSON 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

KEITH

Middle

EDWARD

Last Name

ANDERSON

Suffix

DVM

Business Name

KEITH EDWARD ANDERSON DVM

Original Issue Date

06/21/2006

Effective Date

01/15/2009

Expiration Date

01/31/2011

City

NILES

State

Zip

60714

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/10/2011