JACEY BRIANNE JOHNSON Veterinarian License verification

Business Entity

NOT RENEWED

License Type

Veterinarian

Description

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

License Number

39*****57

License Status

NOT RENEWED

Business

First Name

JACEY

Middle

BRIANNE

Last Name

JOHNSON

Business Name

JACEY BRIANNE JOHNSON

Original Issue Date

05/20/2013

Effective Date

01/05/2015

Expiration Date

01/31/2017

City

MUNDELEIN

State

Zip

60060

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/27/2017