NICOLE L JOHNSON DVM Veterinarian License verification

Business Entity

NOT RENEWED

License Type

Veterinarian

Description

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

License Number

39*****89

License Status

NOT RENEWED

Business

Title

DVM

First Name

NICOLE

Middle

Last Name

JOHNSON

Business Name

NICOLE L JOHNSON DVM

Original Issue Date

03/17/2014

Effective Date

03/17/2014

Expiration Date

01/31/2015

City

PEORIA

State

Zip

61603

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/09/2015