EMILY JO BLAYLOCK Veterinarian License verification

Business Entity

NOT RENEWED

License Type

Veterinarian

Description

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

License Number

39*****43

License Status

NOT RENEWED

Business

First Name

EMILY JO

Last Name

BLAYLOCK

Business Name

EMILY JO BLAYLOCK

Original Issue Date

01/01/1998

Expiration Date

03/31/1983

City

KENOSHA

State

Zip

53142

County

WISCONSIN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/16/2005