KATHERINE A LIST Veterinarian License verification

Business Entity

CANCELLED

License Type

Veterinarian

Description

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

License Number

39*****34

License Status

CANCELLED

Business

First Name

KATHERINE A

Last Name

LIST

Business Name

KATHERINE A LIST

Original Issue Date

08/07/1998

Effective Date

08/07/1998

Expiration Date

01/31/2001

City

GLEN CARBON

State

Zip

62034

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005