KATELYN CHRISTINE FERGUSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125081386

License Status

ACTIVE

Business

Title

First Name

KATELYN

Middle

CHRISTINE

Last Name

FERGUSON

Business Name

KATELYN CHRISTINE FERGUSON MD

Original Issue Date

06/22/2023

Effective Date

06/22/2023

Expiration Date

06/21/2026

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine/Pediatrics

Ever Disciplined

LastModifiedDate

04/06/2023