PAM BOUTILIER 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

PAM

Last Name

BOUTILIER

Suffix

DVM

Business Name

PAM BOUTILIER DVM

Original Issue Date

08/13/2004

Effective Date

11/21/2006

Expiration Date

01/31/2009

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/17/2009