SUZANNE MICHELLE DE FORD Veterinarian License verification

Business Entity

ACTIVE

License Type

Veterinarian

Description

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

License Number

39*****27

License Status

ACTIVE

Business

First Name

SUZANNE

Middle

MICHELLE

Last Name

DE FORD

Business Name

SUZANNE MICHELLE DE FORD

Original Issue Date

07/02/2022

Effective Date

01/30/2025

Expiration Date

01/31/2027

City

BANNOCKBURN

State

Zip

60015

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/30/2025