NICOLE MARIE LANE Veterinarian License verification

Business Entity

ACTIVE

License Type

Veterinarian

Description

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

License Number

39*****91

License Status

ACTIVE

Business

First Name

NICOLE

Middle

MARIE

Last Name

LANE

Business Name

NICOLE MARIE LANE

Original Issue Date

12/16/2016

Effective Date

01/06/2025

Expiration Date

01/31/2027

City

ITASCA

State

Zip

60143

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/06/2025