STEPHEN DANIEL FERRARESI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****90

License Status

NOT RENEWED

Business

Title

First Name

STEPHEN

Middle

DANIEL

Last Name

FERRARESI

Business Name

STEPHEN DANIEL FERRARESI MD

Original Issue Date

05/26/2020

Effective Date

05/26/2020

Expiration Date

07/31/2023

City

NORMAL

State

Zip

61761

County

MCLEAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023