JODI KAY FAN DVM Veterinarian License verification

Business Entity

NOT RENEWED

License Type

Veterinarian

Description

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

License Number

39*****11

License Status

NOT RENEWED

Business

First Name

JODI

Middle

KAY

Last Name

FAN

Suffix

DVM

Business Name

JODI KAY FAN DVM

Original Issue Date

07/15/2002

Effective Date

11/15/2010

Expiration Date

01/31/2013

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/20/2013