BENJAMIN W BLAIR Veterinarian License verification

Business Entity

NOT RENEWED

License Type

Veterinarian

Description

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

License Number

39*****59

License Status

NOT RENEWED

Business

First Name

BENJAMIN

Middle

Last Name

BLAIR

Business Name

BENJAMIN W BLAIR

Original Issue Date

07/12/2016

Effective Date

01/23/2019

Expiration Date

01/31/2021

City

URBANA

State

Zip

61802

County

RANDOLPH

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/11/2021