ANDREW NICHOLS CRUIKSHANK DVM Veterinarian License verification

Business Entity

NOT RENEWED

License Type

Veterinarian

Description

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

License Number

39*****75

License Status

NOT RENEWED

Business

First Name

ANDREW

Middle

NICHOLS

Last Name

CRUIKSHANK DVM

Business Name

ANDREW NICHOLS CRUIKSHANK DVM

Original Issue Date

08/26/2009

Effective Date

08/26/2009

Expiration Date

01/31/2011

City

CHICAGO

State

Zip

60618

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/10/2011