MALLORY JENNA KANWAL DVM Veterinarian License verification

Business Entity

NOT RENEWED

License Type

Veterinarian

Description

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

License Number

39*****95

License Status

NOT RENEWED

Business

Title

DVM

First Name

MALLORY

Middle

JENNA

Last Name

KANWAL

Business Name

MALLORY JENNA KANWAL DVM

Original Issue Date

11/16/2018

Effective Date

11/16/2018

Expiration Date

01/31/2021

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/11/2021