JODI LYNN CARLSON DVM Veterinarian License verification

Business Entity

NOT RENEWED

License Type

Veterinarian

Description

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

License Number

39*****05

License Status

NOT RENEWED

Business

Title

DVM

First Name

JODI

Middle

LYNN

Last Name

CARLSON

Business Name

JODI LYNN CARLSON DVM

Original Issue Date

01/25/2017

Effective Date

11/19/2018

Expiration Date

01/31/2021

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/02/2021