LISA R GOODPASTURE-MCINTOSH DVM Veterinarian License verification

Business Entity

NOT RENEWED

License Type

Veterinarian

Description

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

License Number

39*****77

License Status

NOT RENEWED

Business

Title

DVM

First Name

LISA R

Last Name

GOODPASTURE-MCINTOSH

Business Name

LISA R GOODPASTURE-MCINTOSH DVM

Original Issue Date

05/03/2024

Effective Date

05/03/2024

Expiration Date

02/28/2025

City

MANTENO

State

Zip

60950

County

KANKAKEE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

06/09/2025