AMY ELIZABETH BLACK Veterinarian License verification

Business Entity

NOT RENEWED

License Type

Veterinarian

Description

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

License Number

39*****60

License Status

NOT RENEWED

Business

First Name

AMY

Middle

ELIZABETH

Last Name

BLACK

Business Name

AMY ELIZABETH BLACK

Original Issue Date

08/11/2006

Effective Date

08/11/2006

Expiration Date

01/31/2007

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Specialty/Qualifier

HOSPITAL/CLINIC

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/16/2007