GRETCHEN A FANCONI-SHIFFLETT DVM Veterinarian License verification

Business Entity

NOT RENEWED

License Type

Veterinarian

Description

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

License Number

39*****76

License Status

NOT RENEWED

Business

First Name

GRETCHEN

Middle

Last Name

FANCONI-SHIFFLETT

Suffix

DVM

Business Name

GRETCHEN A FANCONI-SHIFFLETT DVM

Original Issue Date

12/29/2004

Effective Date

12/29/2004

Expiration Date

01/31/2007

City

CHICAGO

State

Zip

60622

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/16/2007