MARK KENDRIC FERGUSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****22

License Status

ACTIVE

Business

First Name

MARK KENDRIC

Last Name

FERGUSON

Suffix

Business Name

MARK KENDRIC FERGUSON MD

Original Issue Date

01/01/1997

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2023