STACEY KATHLEEN GRIESBAUM Veterinarian License verification

Business Entity

ACTIVE

License Type

Veterinarian

Description

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

License Number

39*****33

License Status

ACTIVE

Business

First Name

STACEY

Middle

KATHLEEN

Last Name

GRIESBAUM

Business Name

STACEY KATHLEEN GRIESBAUM

Original Issue Date

02/09/2021

Effective Date

01/29/2025

Expiration Date

01/31/2027

City

PALMYRA

State

Zip

63461

County

MISSOURI

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

01/29/2025