SUSAN LEAH JORGENSEN DVM Veterinarian License verification

Business Entity

INOPERATIVE

License Type

Veterinarian

Description

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

License Number

39*****76

License Status

INOPERATIVE

Business

First Name

SUSAN

Middle

LEAH

Last Name

JORGENSEN

Suffix

DVM

Business Name

SUSAN LEAH JORGENSEN DVM

Original Issue Date

07/20/1999

Effective Date

07/20/1999

Expiration Date

01/31/2003

City

SALEM

State

Zip

53168

County

WISCONSIN

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

10/17/2005