GLEN R WITTNAM Veterinarian License verification

Business Entity

NOT RENEWED

License Type

Veterinarian

Description

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

License Number

39*****22

License Status

NOT RENEWED

Business

First Name

GLEN

Middle

Last Name

WITTNAM

Business Name

GLEN R WITTNAM

Original Issue Date

01/01/1998

Expiration Date

01/31/2003

City

MARION

State

Zip

62959

County

WILLIAMSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005