TEGAN M FULLER Veterinarian License verification

Business Entity

NOT RENEWED

License Type

Veterinarian

Description

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

License Number

39*****91

License Status

NOT RENEWED

Business

First Name

TEGAN

Middle

Last Name

FULLER

Business Name

TEGAN M FULLER

Original Issue Date

10/01/2007

Effective Date

01/28/2009

Expiration Date

01/31/2011

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/10/2011