SAMUEL E CLEM JR Veterinarian License verification

Business Entity

NOT RENEWED

License Type

Veterinarian

Description

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

License Number

39*****63

License Status

NOT RENEWED

Business

First Name

SAMUEL

Middle

Last Name

CLEM

Suffix

Business Name

SAMUEL E CLEM JR

Original Issue Date

01/01/1998

Effective Date

11/21/2006

Expiration Date

01/31/2009

City

MATTOON

State

Zip

61938

County

COLES

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/17/2009