GORDON COLE PETERSEN 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

GORDON COLE

Last Name

PETERSEN

Business Name

GORDON COLE PETERSEN

Original Issue Date

12/05/2002

Effective Date

12/05/2002

Expiration Date

01/31/2005

City

MONTICELLO

State

Zip

61856

County

PIATT

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005