DANIEL A DOMER Veterinarian License verification

Business Entity

NOT RENEWED

License Type

Veterinarian

Description

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

License Number

39*****70

License Status

NOT RENEWED

Business

First Name

DANIEL

Middle

Last Name

DOMER

Business Name

DANIEL A DOMER

Original Issue Date

05/25/2012

Effective Date

05/25/2012

Expiration Date

01/31/2013

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/20/2013