KRISTI LEE ANN HENDERSON DVM Veterinarian License verification

Business Entity

NOT RENEWED

License Type

Veterinarian

Description

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

License Number

39*****65

License Status

NOT RENEWED

Business

First Name

KRISTI

Middle

LEE ANN

Last Name

HENDERSON

Suffix

DVM

Business Name

KRISTI LEE ANN HENDERSON DVM

Original Issue Date

08/29/2000

Effective Date

08/29/2000

Expiration Date

01/31/2003

City

WILLIAMSVILLE

State

Zip

62693

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005