KELLY ANNE MOORE DVM Veterinarian License verification

Business Entity

NOT RENEWED

License Type

Veterinarian

Description

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

License Number

39*****69

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

ANNE

Last Name

MOORE

Suffix

DVM

Business Name

KELLY ANNE MOORE DVM

Original Issue Date

09/13/2000

Effective Date

09/13/2000

Expiration Date

01/31/2003

City

EVERGREEN PARK

State

Zip

60805

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005