STACY L ROTH MANN Veterinarian License verification

Business Entity

ACTIVE

License Type

Veterinarian

Description

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

License Number

39*****73

License Status

ACTIVE

Business

First Name

STACY

Middle

Last Name

ROTH MANN

Business Name

STACY L ROTH MANN

Original Issue Date

08/31/2006

Effective Date

11/06/2024

Expiration Date

01/31/2027

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Specialty/Qualifier

HOSPITAL/CLINIC

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2024