KENNETH RUSSELL WALLER III Veterinarian License verification

Business Entity

ACTIVE

License Type

Veterinarian

Description

LICENSED VETERINARIAN

License Number

090010797

License Status

ACTIVE

Business

First Name

KENNETH

Middle

RUSSELL

Last Name

WALLER

Suffix

III

Business Name

KENNETH RUSSELL WALLER III

Original Issue Date

02/27/2012

Effective Date

11/04/2024

Expiration Date

01/31/2027

City

SUN PRAIRIE

State

Zip

53590

Ever Disciplined

LastModifiedDate

11/04/2024