JONATHAN L FERGUSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****78

License Status

ACTIVE

Business

First Name

JONATHAN L

Last Name

FERGUSON

Suffix

Business Name

JONATHAN L FERGUSON MD

Original Issue Date

03/15/1989

Effective Date

04/23/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/23/2023