VICTORY ANTHONY FERRARIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

NOT RENEWED

Business

First Name

VICTORY ANTHONY

Last Name

FERRARIS

Suffix

Business Name

VICTORY ANTHONY FERRARIS MD

Original Issue Date

10/28/1996

Effective Date

10/28/1996

Expiration Date

07/31/1999

City

MAYWOOD

State

Zip

60153

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006