JOSEPH ROBERT FERGUSON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****01

License Status

NOT RENEWED

Business

First Name

JOSEPH

Middle

ROBERT

Last Name

FERGUSON

Business Name

JOSEPH ROBERT FERGUSON

Original Issue Date

07/13/2012

Effective Date

09/18/2021

Expiration Date

09/30/2024

City

PALATINE

State

Zip

60067

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025