JENNIFER L BOONSTRA DVM Veterinarian License verification

Business Entity

CANCELLED

License Type

Veterinarian

Description

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

License Number

39*****77

License Status

CANCELLED

Business

First Name

JENNIFER

Middle

Last Name

BOONSTRA

Suffix

DVM

Business Name

JENNIFER L BOONSTRA DVM

Original Issue Date

08/31/2006

Effective Date

11/21/2006

Expiration Date

01/31/2009

City

SKOKIE

State

Zip

60076

County

COOK

Specialty/Qualifier

HOSPITAL/CLINIC

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/17/2009