SAMANTHA NICOLE VITALE DVM Veterinarian License verification

Business Entity

NOT RENEWED

License Type

Veterinarian

Description

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

License Number

39*****39

License Status

NOT RENEWED

Business

Title

DVM

First Name

SAMANTHA

Middle

NICOLE

Last Name

VITALE

Business Name

SAMANTHA NICOLE VITALE DVM

Original Issue Date

12/10/2015

Effective Date

01/23/2019

Expiration Date

01/31/2021

City

SHERMAN

State

Zip

62684

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/11/2021