NOAH DIAZ-PORTALATIN 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

NOAH

Last Name

DIAZ-PORTALATIN

Business Name

NOAH DIAZ-PORTALATIN

Original Issue Date

09/03/2021

Effective Date

09/03/2021

Expiration Date

01/31/2023

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/31/2023