KATIE L TILLMAN Veterinarian License verification

Business Entity

NOT RENEWED

License Type

Veterinarian

Description

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

License Number

39*****71

License Status

NOT RENEWED

Business

First Name

KATIE

Middle

Last Name

TILLMAN

Business Name

KATIE L TILLMAN

Original Issue Date

04/16/2009

Effective Date

04/16/2009

Expiration Date

01/31/2011

City

SKOKIE

State

Zip

60062

County

COOK

Specialty/Qualifier

HOSPITAL/CLINIC

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/10/2011