MADISON LEIGH BASKETTE

Business Entity
ACTIVE

Veterinarian

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

39*****91

ACTIVE

N

MADISON

LEIGH

BASKETTE

MADISON LEIGH BASKETTE

12/11/2024

12/11/2024

01/31/2027

URBANA

IL

61802

CHAMPAIGN

II

N

12/11/2024