JENNIFER M SLACK Veterinarian License verification

Business Entity

NOT RENEWED

License Type

Veterinarian

Description

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

License Number

39*****97

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

SLACK

Business Name

JENNIFER M SLACK

BusinessDBA

SLACK

Original Issue Date

06/10/2008

Effective Date

03/04/2009

Expiration Date

01/31/2011

City

EVANSTON

State

Zip

60201

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/10/2011