SHANE MART Veterinarian License verification

Business Entity

NOT RENEWED

License Type

Veterinarian

Description

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

License Number

39*****79

License Status

NOT RENEWED

Business

First Name

SHANE

Last Name

MART

Business Name

SHANE MART

Original Issue Date

11/04/2022

Effective Date

11/04/2022

Expiration Date

02/28/2025

City

BANNOCKBURN

State

Zip

60015

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/09/2025