TRACEI ANN HOLDER 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

First Name

TRACEI

Middle

ANN

Last Name

HOLDER

Suffix

DVM

Business Name

TRACEI ANN HOLDER DVM

Original Issue Date

05/22/2000

Effective Date

11/21/2006

Expiration Date

01/31/2009

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/17/2009