LEIDY SUSANA L LEGUIZAMO LOPEZ Veterinarian License verification

Business Entity

NOT RENEWED

License Type

Veterinarian

Description

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

License Number

39*****35

License Status

NOT RENEWED

Business

First Name

LEIDY SUSANA

Middle

Last Name

LEGUIZAMO LOPEZ

Business Name

LEIDY SUSANA L LEGUIZAMO LOPEZ

Original Issue Date

06/20/2019

Effective Date

06/20/2019

Expiration Date

01/31/2021

City

GLEN CARBON

State

Zip

62034

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/11/2021