BENJAMIN D FERGUSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036141167

License Status

NOT RENEWED

Business

Title

First Name

BENJAMIN

Middle

Last Name

FERGUSON

Business Name

BENJAMIN D FERGUSON MD

Original Issue Date

07/07/2016

Effective Date

04/24/2017

Expiration Date

09/30/2020

City

LA GRANGE PARK

State

Zip

60526

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021