MICHAEL L WIDENER Veterinarian License verification

Business Entity

NOT RENEWED

License Type

Veterinarian

Description

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

License Number

39*****72

License Status

NOT RENEWED

Business

First Name

MICHAEL L

Last Name

WIDENER

Business Name

MICHAEL L WIDENER

Original Issue Date

09/25/1990

Effective Date

09/25/1990

Expiration Date

01/31/1993

City

CHICAGO HEIGHTS

State

Zip

60411

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/16/2005