Kimberly J Forman
ExpiredIllinois license 095001698
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 095001698
- Status
- Expired (Not Renewed)
- First issued
- January 19, 2011
- Expired
- January 31, 2017
- License holder
- Kimberly J Forman
- Entity type
- Individual
Classifications
- Certified Veterinary Technician Veterinary
More from the license record
- Current term began
- 02/03/2015
Contact
Mascoutah, IL 62258
Saint Clair County