DEAN MICHAEL FERRERA DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048067

License Status

CANCELLED

Business

First Name

DEAN

Middle

MICHAEL

Last Name

FERRERA

Suffix

Business Name

DEAN MICHAEL FERRERA DO

Original Issue Date

06/24/2004

Effective Date

06/24/2004

Expiration Date

06/23/2007

City

BURR RIDGE

State

Zip

60527

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006