TIFFANY NICHOLE LEACH 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

First Name

TIFFANY

Middle

NICHOLE

Last Name

LEACH

Suffix

DVM

Business Name

TIFFANY NICHOLE LEACH DVM

Original Issue Date

06/06/2007

Effective Date

06/06/2007

Expiration Date

01/31/2009

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

HOSPITAL/CLINIC

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/17/2009