JODI S CARBONE Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036083403

License Status

NOT RENEWED

Business

First Name

JODI S

Last Name

CARBONE

Business Name

JODI S CARBONE

Original Issue Date

09/05/1991

Effective Date

09/05/1991

Expiration Date

07/31/2005

City

GRANGER

State

Zip

46530

County

INDIANA

Ever Disciplined

LastModifiedDate

10/09/2006