ERWIN JOHN BASCH 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

ERWIN JOHN

Last Name

BASCH

Business Name

ERWIN JOHN BASCH

Original Issue Date

01/01/1998

Expiration Date

01/31/2001

City

CENTRALIA

State

Zip

62801

County

MARION

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005