JAMES LEO BAUM

Business Entity
NOT RENEWED

Veterinarian

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

39*****76

NOT RENEWED

N

JAMES LEO

BAUM

JAMES LEO BAUM

08/10/1981

08/10/1981

01/31/1987

PEWAUKEE

WI

53072

WISCONSIN

II III IV V

N

10/16/2005