MARK ERIC WALLACE Veterinarian License verification

Business Entity

NOT RENEWED

License Type

Veterinarian

Description

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

License Number

39*****42

License Status

NOT RENEWED

Business

First Name

MARK ERIC

Last Name

WALLACE

Business Name

MARK ERIC WALLACE

Original Issue Date

08/15/1986

Effective Date

08/15/1986

Expiration Date

01/31/2007

City

MOUNT CARMEL

State

Zip

62863

County

WABASH

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/16/2007