CORNELIA WARD MARY PETERSON Veterinarian License verification

Business Entity

NOT RENEWED

License Type

Veterinarian

Description

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

License Number

39*****74

License Status

NOT RENEWED

Business

First Name

CORNELIA

Middle

WARD MARY

Last Name

PETERSON

Business Name

CORNELIA WARD MARY PETERSON

Original Issue Date

09/23/2014

Effective Date

09/23/2014

Expiration Date

01/31/2015

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/09/2015