DOMINQUE MARIE FERGUSON DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188001022

License Status

EXPIRED

Business

Title

First Name

DOMINQUE

Middle

MARIE

Last Name

FERGUSON

Business Name

DOMINQUE MARIE FERGUSON DO

Original Issue Date

10/20/2023

Effective Date

10/20/2023

Expiration Date

02/19/2024

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Specialty/Qualifier

Trauma Rotation

Ever Disciplined

LastModifiedDate

01/08/2025