KEITH E STEIN DVM Veterinarian License verification

Business Entity

NOT RENEWED

License Type

Veterinarian

Description

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

License Number

39*****15

License Status

NOT RENEWED

Business

First Name

KEITH

Middle

Last Name

STEIN

Suffix

DVM

Business Name

KEITH E STEIN DVM

Original Issue Date

02/19/2003

Effective Date

02/19/2003

Expiration Date

01/31/2005

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005