LAWRENCE FERGUSON, MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036047878

License Status

NOT RENEWED

Business

First Name

LAWRENCE

Last Name

FERGUSON,

Suffix

Business Name

LAWRENCE FERGUSON, MD

Original Issue Date

08/23/1973

Effective Date

08/23/1973

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006