JORDAN KILEE BEAUCHAMP DVM Veterinarian License verification

Business Entity

NOT RENEWED

License Type

Veterinarian

Description

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

License Number

39*****72

License Status

NOT RENEWED

Business

Title

DVM

First Name

JORDAN

Middle

KILEE

Last Name

BEAUCHAMP

Business Name

JORDAN KILEE BEAUCHAMP DVM

Original Issue Date

04/22/2022

Effective Date

04/22/2022

Expiration Date

01/31/2023

City

GLENWOOD

State

Zip

60425

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/31/2023