ALEXANDRA ANNELIESE SMITH DVM Veterinarian License verification

Business Entity

NOT RENEWED

License Type

Veterinarian

Description

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

License Number

39*****40

License Status

NOT RENEWED

Business

Title

DVM

First Name

ALEXANDRA

Middle

ANNELIESE

Last Name

SMITH

Business Name

ALEXANDRA ANNELIESE SMITH DVM

Original Issue Date

08/24/2016

Effective Date

12/01/2020

Expiration Date

01/31/2021

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

03/11/2021