JUSTIN SCOTT FERRAGUT MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062478

License Status

CANCELLED

Business

Title

First Name

JUSTIN

Middle

SCOTT

Last Name

FERRAGUT

Business Name

JUSTIN SCOTT FERRAGUT MD

Original Issue Date

08/09/2015

Effective Date

08/09/2015

Expiration Date

06/30/2017

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

07/23/2015