BRUCE L FERGUSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125026194

License Status

EXPIRED

Business

First Name

BRUCE L

Last Name

FERGUSON

Suffix

Business Name

BRUCE L FERGUSON MD

Original Issue Date

04/18/1991

Effective Date

04/18/1991

Expiration Date

06/20/1994

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006