BENJAMIN D FERGUSON MD - Medical Doctor License in New York | # 125063214

BENJAMIN D FERGUSON MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063214

License Status

CANCELLED

Business

N

Title

MD

First Name

BENJAMIN

Middle

D

Last Name

FERGUSON

Business Name

BENJAMIN D FERGUSON MD

Original Issue Date

06/24/2013

Effective Date

06/24/2013

Expiration Date

06/23/2016

State

NY

Specialty/Qualifier

General Surgery

Ever Disciplined

N

LastModifiedDate

03/24/2014