NICOLE DENISE ROSE DVM Veterinarian License verification

Business Entity

NOT RENEWED

License Type

Veterinarian

Description

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

License Number

39*****43

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

DENISE

Last Name

ROSE

Suffix

DVM

Business Name

NICOLE DENISE ROSE DVM

Original Issue Date

06/07/1999

Effective Date

06/07/1999

Expiration Date

01/31/2003

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005