RANDY JOSEPH DIETZEL Veterinarian License verification

Business Entity

NOT RENEWED

License Type

Veterinarian

Description

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

License Number

39*****28

License Status

NOT RENEWED

Business

First Name

RANDY

Middle

JOSEPH

Last Name

DIETZEL

Business Name

RANDY JOSEPH DIETZEL

Original Issue Date

08/05/2002

Effective Date

08/05/2002

Expiration Date

01/31/2005

City

GALENA

State

Zip

61036

County

JO DAVIESS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005