REBECCA LOUISE FERGUSON DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055966

License Status

EXPIRED

Business

First Name

REBECCA

Middle

LOUISE

Last Name

FERGUSON

Suffix

Business Name

REBECCA LOUISE FERGUSON DO

Original Issue Date

06/22/2012

Effective Date

06/22/2012

Expiration Date

09/21/2012

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

10/11/2012