JONATHAN KIM FERGUS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071626

License Status

CANCELLED

Business

Title

First Name

JONATHAN

Middle

KIM

Last Name

FERGUS

Business Name

JONATHAN KIM FERGUS MD

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2023

City

CHICAGO

State

Zip

60618

County

COOK

Specialty/Qualifier

Interventional Radiology - Integrated

Ever Disciplined

LastModifiedDate

03/27/2020