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Licensing details for: 3495

Name: PETERSEN, COURTNEY

License Type: Vet Assist Controlled Substance Permit

Primary Status: Cancelled

Address of Record

93 Malicoat Ave
OAKLEY CA 94561-2752
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Issuance Date

December 8, 2017

Expiration Date

April 30, 2019

Current Date / Time

October 25, 2026
4:40:46 PM

Public Record Actions

License Relationships

Supervisor (Vet) to VACS Permit

License/Registration Role: Veterinary Assistant Controlled Substance Permit

Related Party Role: Veterinarian

Name: HAMM, JENNIFER G

License/Registration Type: Veterinarian

License Number: 19384 Primary Status: Cancelled

Address :
1409 Lost Hollow Ln
ASHLAND CITY TN 37015-9362
CHEATHAM COUNTY

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