EDUARDO JAVIER BENJAMIN DIAZ DVM Veterinarian License verification

Business Entity

NOT RENEWED

License Type

Veterinarian

Description

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

License Number

39*****99

License Status

NOT RENEWED

Business

Title

DVM

First Name

EDUARDO

Middle

JAVIER

Last Name

BENJAMIN DIAZ

Business Name

EDUARDO JAVIER BENJAMIN DIAZ DVM

Original Issue Date

03/28/2018

Effective Date

03/28/2018

Expiration Date

01/31/2019

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/28/2019