MARK G TICHACEK Veterinarian License verification

Business Entity

ACTIVE

License Type

Veterinarian

Description

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

License Number

39*****78

License Status

ACTIVE

Business

First Name

MARK G

Last Name

TICHACEK

Business Name

MARK G TICHACEK

Original Issue Date

09/05/1990

Effective Date

01/21/2025

Expiration Date

01/31/2027

City

CARBONDALE

State

Zip

62902

County

JACKSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/27/2025