ROBERT JOSEPH FORMEA DVM Veterinarian License verification

Business Entity

CANCELLED

License Type

Veterinarian

Description

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

License Number

39*****64

License Status

CANCELLED

Business

First Name

ROBERT

Middle

JOSEPH

Last Name

FORMEA

Suffix

DVM

Business Name

ROBERT JOSEPH FORMEA DVM

Original Issue Date

07/17/2001

Effective Date

07/17/2001

Expiration Date

01/31/2005

City

BENLD

State

Zip

62009

County

MACOUPIN

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

10/16/2005