SUZANNE MICHELLE DE FORD Veterinarian License verification

Business Entity

NOT RENEWED

License Type

Veterinarian

Description

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

License Number

39*****10

License Status

NOT RENEWED

Business

First Name

SUZANNE

Middle

MICHELLE

Last Name

DE FORD

Business Name

SUZANNE MICHELLE DE FORD

Original Issue Date

01/06/2021

Effective Date

01/06/2021

Expiration Date

01/31/2023

City

BANNOCKBURN

State

Zip

60015

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/31/2023