DANIEL ELWOOD THEOBALD 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

First Name

DANIEL

Middle

ELWOOD

Last Name

THEOBALD

Suffix

DVM

Business Name

DANIEL ELWOOD THEOBALD DVM

Original Issue Date

12/28/2005

Effective Date

01/27/2015

Expiration Date

01/31/2017

City

WATERLOO

State

Zip

62298

County

MONROE

Specialty/Qualifier

HOSPITAL/CLINIC

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/27/2017