AMY ELIZABETH DECLUE DVM Veterinarian License verification

Business Entity

NOT RENEWED

License Type

Veterinarian

Description

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

License Number

39*****36

License Status

NOT RENEWED

Business

First Name

AMY

Middle

ELIZABETH

Last Name

DECLUE

Suffix

DVM

Business Name

AMY ELIZABETH DECLUE DVM

Original Issue Date

07/05/2000

Effective Date

07/05/2000

Expiration Date

01/31/2005

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005