AMY ELIZABETH ALICE BLOMQUIST DVM Veterinarian License verification

Business Entity

NOT RENEWED

License Type

Veterinarian

Description

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

License Number

39*****18

License Status

NOT RENEWED

Business

First Name

AMY ELIZABETH

Middle

ALICE

Last Name

BLOMQUIST

Suffix

DVM

Business Name

AMY ELIZABETH ALICE BLOMQUIST DVM

Original Issue Date

06/21/2010

Effective Date

06/21/2010

Expiration Date

01/31/2011

City

SCHAUMBURG

State

Zip

60173

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

03/10/2011