TRACY ANNE PECKHAM 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

TRACY

Middle

ANNE

Last Name

PECKHAM

Suffix

DVM

Business Name

TRACY ANNE PECKHAM DVM

Original Issue Date

10/05/2007

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