STEPHEN DANIEL FERRARESI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036153073

License Status

NOT RENEWED

Business

Title

First Name

STEPHEN

Middle

DANIEL

Last Name

FERRARESI

Business Name

STEPHEN DANIEL FERRARESI MD

Original Issue Date

05/19/2020

Effective Date

05/19/2020

Expiration Date

07/31/2023

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

11/30/2023