BLAINE N ELLISON Veterinarian License verification

Business Entity

NOT RENEWED

License Type

Veterinarian

Description

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

License Number

39*****87

License Status

NOT RENEWED

Business

First Name

BLAINE N

Last Name

ELLISON

Business Name

BLAINE N ELLISON

Original Issue Date

01/01/1998

Expiration Date

03/31/1982

City

LOMBARD

State

Zip

60148

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/16/2005