PHILIP N BANE 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

PHILIP N

Last Name

BANE

Business Name

PHILIP N BANE

Original Issue Date

06/24/1986

Effective Date

06/24/1986

Expiration Date

01/31/2001

City

FAIRBURY

State

Zip

61739

County

LIVINGSTON

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

10/17/2005