TRAVIS B MANSUR Veterinarian License verification

Business Entity

ACTIVE

License Type

Veterinarian

Description

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

License Number

39*****77

License Status

ACTIVE

Business

First Name

TRAVIS

Middle

Last Name

MANSUR

Business Name

TRAVIS B MANSUR

Original Issue Date

11/09/2021

Effective Date

12/23/2024

Expiration Date

01/31/2027

City

DECATUR

State

Zip

62521

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/23/2024