MYRTHE EVA VAN DE VENNE DVM Veterinarian License verification

Business Entity

NOT RENEWED

License Type

Veterinarian

Description

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

License Number

39*****71

License Status

NOT RENEWED

Business

Title

DVM

First Name

MYRTHE

Middle

EVA

Last Name

VAN DE VENNE

Business Name

MYRTHE EVA VAN DE VENNE DVM

Original Issue Date

01/29/2018

Effective Date

01/29/2018

Expiration Date

01/31/2019

City

WILMETTE

State

Zip

60091

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/28/2019