HOMER A FERGUSON JR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

License Status

ACTIVE

Business

First Name

HOMER A

Last Name

FERGUSON JR

Suffix

Business Name

HOMER A FERGUSON JR MD

Original Issue Date

12/15/1983

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

SWANSEA

State

Zip

62226

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023