KRISTEN L FERGUSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****66

License Status

ACTIVE

Business

Title

First Name

KRISTEN

Middle

Last Name

FERGUSON

Business Name

KRISTEN L FERGUSON MD

Original Issue Date

12/18/2003

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62712

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023