WANDA MABEL GONZALEZ-QUINTANA 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

WANDA

Middle

MABEL

Last Name

GONZALEZ-QUINTANA

Business Name

WANDA MABEL GONZALEZ-QUINTANA

Original Issue Date

11/16/2015

Effective Date

11/19/2018

Expiration Date

01/31/2021

City

SOUTH HOLLAND

State

Zip

60473

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/11/2021