LEAH M KRUCKMAN Veterinarian License verification

Business Entity

ACTIVE

License Type

Veterinarian

Description

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

License Number

39*****99

License Status

ACTIVE

Business

First Name

LEAH

Middle

Last Name

KRUCKMAN

Business Name

LEAH M KRUCKMAN

Original Issue Date

08/21/2019

Effective Date

11/03/2024

Expiration Date

01/31/2027

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/03/2024