JORDAN KILEE BEAUCHAMP DVM Veterinarian License verification

Business Entity

NOT RENEWED

License Type

Veterinarian

Description

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

License Number

39*****55

License Status

NOT RENEWED

Business

Title

DVM

First Name

JORDAN

Middle

KILEE

Last Name

BEAUCHAMP

Business Name

JORDAN KILEE BEAUCHAMP DVM

Original Issue Date

03/14/2019

Effective Date

03/14/2019

Expiration Date

01/31/2021

City

CHICAGO

State

Zip

60647

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/11/2021