PAUL E MARDIS Veterinarian License verification

Business Entity

NOT RENEWED

License Type

Veterinarian

Description

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

License Number

39*****73

License Status

NOT RENEWED

Business

First Name

PAUL

Middle

Last Name

MARDIS

Business Name

PAUL E MARDIS

Original Issue Date

09/06/2007

Effective Date

12/01/2008

Expiration Date

01/31/2011

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/10/2011