JODI KAY FAN DVM Veterinarian License verification

Business Entity

INACTIVE

License Type

Veterinarian

Description

LICENSED VETERINARIAN

License Number

090008678

License Status

INACTIVE

Business

First Name

JODI

Middle

KAY

Last Name

FAN

Suffix

DVM

Business Name

JODI KAY FAN DVM

Original Issue Date

06/03/2002

Effective Date

11/15/2010

Expiration Date

01/31/2013

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

11/08/2012