BRUCE L FERGUSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

NOT RENEWED

Business

First Name

BRUCE L

Last Name

FERGUSON

Suffix

Business Name

BRUCE L FERGUSON MD

Original Issue Date

06/15/1994

Effective Date

07/28/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60640

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014