CARMEN A STASZKOW COOTS DVM Veterinarian License verification

Business Entity

NOT RENEWED

License Type

Veterinarian

Description

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

License Number

39*****30

License Status

NOT RENEWED

Business

First Name

CARMEN

Middle

Last Name

STASZKOW COOTS

Suffix

DVM

Business Name

CARMEN A STASZKOW COOTS DVM

Original Issue Date

10/28/1999

Effective Date

10/28/1999

Expiration Date

01/31/2003

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005