THOMAS M FORD DVM Veterinarian License verification

Business Entity

NOT RENEWED

License Type

Veterinarian

Description

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

License Number

39*****87

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

Last Name

FORD

Suffix

DVM

Business Name

THOMAS M FORD DVM

Original Issue Date

01/01/1998

Effective Date

11/03/2010

Expiration Date

01/31/2013

City

LAKE FOREST

State

Zip

60045

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/20/2013