LORI A BLACKWELL DVM Veterinarian License verification

Business Entity

NOT RENEWED

License Type

Veterinarian

Description

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

License Number

39*****53

License Status

NOT RENEWED

Business

First Name

LORI

Middle

Last Name

BLACKWELL

Suffix

DVM

Business Name

LORI A BLACKWELL DVM

Original Issue Date

12/12/1988

Effective Date

02/02/2021

Expiration Date

01/31/2023

City

LAKE VILLA

State

Zip

60046

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/31/2023