REBECCA LEE BLACK 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

First Name

REBECCA

Middle

LEE

Last Name

BLACK

Suffix

DVM

Business Name

REBECCA LEE BLACK DVM

Original Issue Date

07/11/2007

Effective Date

12/16/2008

Expiration Date

01/31/2011

City

WATERLOO

State

Zip

62298

County

MONROE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

03/10/2011