LAURIE JENNIFER BLANCO DVM Veterinarian License verification

Business Entity

NOT RENEWED

License Type

Veterinarian

Description

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

License Number

39*****62

License Status

NOT RENEWED

Business

First Name

LAURIE

Middle

JENNIFER

Last Name

BLANCO

Suffix

DVM

Business Name

LAURIE JENNIFER BLANCO DVM

Original Issue Date

08/06/2003

Effective Date

08/06/2003

Expiration Date

01/31/2005

City

NORTHBROOK

State

Zip

60062

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005