JACCI NICOLE HERMANSEN 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

First Name

JACCI

Middle

NICOLE

Last Name

HERMANSEN

Suffix

DVM

Business Name

JACCI NICOLE HERMANSEN DVM

Original Issue Date

07/28/2010

Effective Date

07/28/2010

Expiration Date

01/31/2011

City

WAUCONDA

State

Zip

60084

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/10/2011