SANDRA MANFRA MARRETTA 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

SANDRA

Middle

MANFRA

Last Name

MARRETTA

Suffix

DVM

Business Name

SANDRA MANFRA MARRETTA DVM

Original Issue Date

04/08/2008

Effective Date

12/18/2012

Expiration Date

01/31/2015

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/09/2015