LISA MILLER MCNICHOLS DVM Veterinarian License verification

Business Entity

NOT RENEWED

License Type

Veterinarian

Description

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

License Number

39*****46

License Status

NOT RENEWED

Business

First Name

LISA

Middle

MILLER

Last Name

MCNICHOLS

Suffix

DVM

Business Name

LISA MILLER MCNICHOLS DVM

Original Issue Date

01/17/2002

Effective Date

01/17/2002

Expiration Date

01/31/2007

City

PEORIA

State

Zip

61603

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/16/2007