KEITH A PETERSON Veterinarian License verification

Business Entity

ACTIVE

License Type

Veterinarian

Description

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

License Number

39*****86

License Status

ACTIVE

Business

First Name

KEITH A

Last Name

PETERSON

Business Name

KEITH A PETERSON

Original Issue Date

10/10/2014

Effective Date

01/10/2025

Expiration Date

01/31/2027

City

PEORIA HEIGHTS

State

Zip

61616

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/10/2025