SHAUNIQUE FERGUSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125085039

License Status

ACTIVE

Business

Title

First Name

SHAUNIQUE

Last Name

FERGUSON

Business Name

SHAUNIQUE FERGUSON MD

Original Issue Date

07/23/2024

Effective Date

07/23/2024

Expiration Date

07/22/2027

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/23/2024