THOMAS J FERRARA OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047035994

License Status

CANCELLED

Business

First Name

THOMAS

Middle

Last Name

FERRARA

Suffix

Business Name

THOMAS J FERRARA OD

Original Issue Date

12/24/1996

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/04/2010