LISA R GOODPASTURE-MCINTOSH DVM Veterinarian License verification

Business Entity

NOT RENEWED

License Type

Veterinarian

Description

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

License Number

39*****20

License Status

NOT RENEWED

Business

Title

DVM

First Name

LISA R

Last Name

GOODPASTURE-MCINTOSH

Business Name

LISA R GOODPASTURE-MCINTOSH DVM

Original Issue Date

07/16/2002

Effective Date

11/13/2012

Expiration Date

01/31/2015

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/09/2015