ELISE NICOLLE GINGRICH 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

ELISE

Middle

NICOLLE

Last Name

GINGRICH

Suffix

DVM

Business Name

ELISE NICOLLE GINGRICH DVM

Original Issue Date

09/01/2005

Effective Date

11/21/2006

Expiration Date

01/31/2009

City

AURORA

State

Zip

60504

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/17/2009