JEFFERY ALFRED WALLIS DVM Veterinarian License verification

Business Entity

NOT RENEWED

License Type

Veterinarian

Description

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

License Number

39*****83

License Status

NOT RENEWED

Business

First Name

JEFFERY

Middle

ALFRED

Last Name

WALLIS

Suffix

DVM

Business Name

JEFFERY ALFRED WALLIS DVM

Original Issue Date

09/06/2005

Effective Date

11/14/2008

Expiration Date

01/31/2011

City

GLENWOOD

State

Zip

60425

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/10/2011