KRISTINA MARIE TARVIN MIEDEMA DVM Veterinarian License verification

Business Entity

NOT RENEWED

License Type

Veterinarian

Description

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

License Number

39*****25

License Status

NOT RENEWED

Business

Title

DVM

First Name

KRISTINA

Middle

MARIE

Last Name

TARVIN MIEDEMA

Business Name

KRISTINA MARIE TARVIN MIEDEMA DVM

Original Issue Date

08/08/2016

Effective Date

01/25/2021

Expiration Date

01/31/2023

City

CHICAGO

State

Zip

60618

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/31/2023