MICHELLE ANTOINETTE MASON DVM Veterinarian License verification

Business Entity

NOT RENEWED

License Type

Veterinarian

Description

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

License Number

39*****24

License Status

NOT RENEWED

Business

Title

DVM

First Name

MICHELLE

Middle

ANTOINETTE

Last Name

MASON

Business Name

MICHELLE ANTOINETTE MASON DVM

Original Issue Date

01/03/2019

Effective Date

01/03/2019

Expiration Date

01/31/2021

City

PHILADELPHIA

State

Zip

19148

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/11/2021