JENNIFER V BLAKE Veterinarian License verification

Business Entity

NOT RENEWED

License Type

Veterinarian

Description

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

License Number

39*****55

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

BLAKE

Business Name

JENNIFER V BLAKE

BusinessDBA

BLAKE

Original Issue Date

02/27/2009

Effective Date

12/11/2018

Expiration Date

01/31/2021

City

FOREST PARK

State

Zip

60130

County

COOK

Specialty/Qualifier

ANIMAL SHELTER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/11/2021