GRANT SANDERSON Veterinarian License verification

Business Entity

ACTIVE

License Type

Veterinarian

Description

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

License Number

39*****72

License Status

ACTIVE

Business

First Name

GRANT

Last Name

SANDERSON

Business Name

GRANT SANDERSON

Original Issue Date

03/21/2019

Effective Date

12/23/2024

Expiration Date

01/31/2027

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/23/2024