DAVID FERGUSON Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036074251

License Status

NOT RENEWED

Business

First Name

DAVID

Last Name

FERGUSON

Business Name

DAVID FERGUSON

Original Issue Date

12/16/1986

Effective Date

12/16/1986

Expiration Date

07/31/1987

City

GLENVIEW

State

Zip

60025

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006