ANNALISA M FAMA DVM Veterinarian License verification

Business Entity

NOT RENEWED

License Type

Veterinarian

Description

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

License Number

39*****50

License Status

NOT RENEWED

Business

Title

DVM

First Name

ANNALISA

Middle

Last Name

FAMA

Business Name

ANNALISA M FAMA DVM

Original Issue Date

10/03/2022

Effective Date

10/03/2022

Expiration Date

01/31/2023

City

CHAMPAIGN

State

Zip

61820

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/31/2023