JAMES DANIEL FERGUSON OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****40

License Status

NOT RENEWED

Business

First Name

JAMES

Middle

DANIEL

Last Name

FERGUSON

Suffix

Business Name

JAMES DANIEL FERGUSON OD

Original Issue Date

09/15/1998

Effective Date

03/14/2014

Expiration Date

03/31/2016

City

CRETE

State

Zip

60417

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/20/2016