RYAN C JACOB 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

Title

DVM

First Name

RYAN

Middle

Last Name

JACOB

Business Name

RYAN C JACOB DVM

BusinessDBA

JACOB

Original Issue Date

12/18/2017

Effective Date

12/18/2017

Expiration Date

01/31/2019

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/28/2019