JAMIE QUICHO MANANSALA Veterinarian License verification

Business Entity

ACTIVE

License Type

Veterinarian

Description

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

License Number

39*****31

License Status

ACTIVE

Business

First Name

JAMIE

Middle

QUICHO

Last Name

MANANSALA

Business Name

JAMIE QUICHO MANANSALA

Original Issue Date

08/31/2019

Effective Date

01/09/2025

Expiration Date

01/31/2027

City

ROUND LAKE

State

Zip

60073

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/09/2025