JENNIFER NICOLE NIEMUTH DVM Veterinarian License verification

Business Entity

NOT RENEWED

License Type

Veterinarian

Description

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

License Number

39*****96

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

NICOLE

Last Name

NIEMUTH

Suffix

DVM

Business Name

JENNIFER NICOLE NIEMUTH DVM

Original Issue Date

06/10/2008

Effective Date

06/10/2008

Expiration Date

01/31/2009

City

NORTHBROOK

State

Zip

60062

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/17/2009