EDRICK J FERGUSON MD - Medical Doctor License in Michigan | # 33*****58

EDRICK J FERGUSON MD

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****58

License Status

ACTIVE

Business

N

Title

MD

First Name

EDRICK

Middle

J

Last Name

FERGUSON

Business Name

EDRICK J FERGUSON MD

Original Issue Date

10/30/2024

Effective Date

10/30/2024

Expiration Date

07/31/2026

State

MI

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

10/30/2024