EDRICK J FERGUSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036170509

License Status

ACTIVE

Business

Title

First Name

EDRICK

Middle

Last Name

FERGUSON

Business Name

EDRICK J FERGUSON MD

Original Issue Date

06/07/2024

Effective Date

06/07/2024

Expiration Date

07/31/2026

City

PORTAGE

State

Zip

49002

Ever Disciplined

LastModifiedDate

12/11/2025