HOMER A FERGUSON JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

NOT RENEWED

Business

First Name

HOMER A

Last Name

FERGUSON JR

Suffix

Business Name

HOMER A FERGUSON JR MD

Original Issue Date

07/14/1987

Effective Date

07/14/1987

Expiration Date

07/31/2008

City

RED BUD

State

Zip

62278

County

RANDOLPH

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020