JEROME BANICKI Veterinarian License verification

Business Entity

NOT RENEWED

License Type

Veterinarian

Description

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

License Number

39*****26

License Status

NOT RENEWED

Business

First Name

JEROME

Last Name

BANICKI

Business Name

JEROME BANICKI

Original Issue Date

01/01/1998

Expiration Date

01/31/1991

City

DECATUR

State

Zip

62521

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005