ANDREW D FERGUSON Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112617

License Status

NOT RENEWED

Business

First Name

ANDREW

Middle

Last Name

FERGUSON

Business Name

ANDREW D FERGUSON

Original Issue Date

11/05/2004

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

WESTCHESTER

State

Zip

60154

County

COOK

Ever Disciplined

LastModifiedDate

11/06/2008