TAMARA MARIE DACOSTA GOMEZ DVM Veterinarian License verification

Business Entity

NOT RENEWED

License Type

Veterinarian

Description

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

License Number

39*****24

License Status

NOT RENEWED

Business

First Name

TAMARA

Middle

MARIE

Last Name

DACOSTA GOMEZ

Suffix

DVM

Business Name

TAMARA MARIE DACOSTA GOMEZ DVM

Original Issue Date

06/26/2000

Effective Date

01/28/2009

Expiration Date

01/31/2011

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

03/10/2011