LISA MARIE FREDERICKS DVM 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

LISA

Middle

MARIE

Last Name

FREDERICKS

Suffix

DVM

Business Name

LISA MARIE FREDERICKS DVM

Original Issue Date

10/13/1998

Effective Date

10/13/1998

Expiration Date

01/31/1999

City

ELGIN

State

Zip

60120

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/16/2005