JAMES DANIEL FERGUSON OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929256

License Status

NOT RENEWED

Business

First Name

JAMES

Middle

DANIEL

Last Name

FERGUSON

Suffix

Business Name

JAMES DANIEL FERGUSON OD

Original Issue Date

01/29/2003

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005