KRISTINA JANELLE BAUCOM Veterinarian License verification

Business Entity

NOT RENEWED

License Type

Veterinarian

Description

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

License Number

39*****66

License Status

NOT RENEWED

Business

First Name

KRISTINA

Middle

JANELLE

Last Name

BAUCOM

Business Name

KRISTINA JANELLE BAUCOM

Original Issue Date

10/18/2021

Effective Date

10/18/2021

Expiration Date

01/31/2023

City

CHARLOTTE

State

Zip

28214

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/31/2023