NICOLE GOODRICH Veterinarian License verification

Business Entity

NOT RENEWED

License Type

Veterinarian

Description

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

License Number

39*****39

License Status

NOT RENEWED

Business

First Name

NICOLE

Last Name

GOODRICH

Business Name

NICOLE GOODRICH

Original Issue Date

06/05/2018

Effective Date

12/05/2018

Expiration Date

01/31/2021

City

ORLAND PARK

State

Zip

60467

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/11/2021