SCOTT ROBERT MACON 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

First Name

SCOTT

Middle

ROBERT

Last Name

MACON

Suffix

DVM

Business Name

SCOTT ROBERT MACON DVM

Original Issue Date

04/28/2008

Effective Date

04/28/2008

Expiration Date

01/31/2009

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/17/2009