THOMAS J FERRARA OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****03

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

Last Name

FERRARA

Suffix

Business Name

THOMAS J FERRARA OD

Original Issue Date

02/25/1999

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

BELVIDERE

State

Zip

61008

County

BOONE

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/04/2010