JAMES DANIEL FERGUSON OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****30

License Status

NOT RENEWED

Business

First Name

JAMES

Middle

DANIEL

Last Name

FERGUSON

Suffix

Business Name

JAMES DANIEL FERGUSON OD

Original Issue Date

10/17/1996

Expiration Date

03/31/1998

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/18/2006