BENJAMIN D FERGUSON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063214

License Status

CANCELLED

Business

Title

First Name

BENJAMIN

Middle

Last Name

FERGUSON

Business Name

BENJAMIN D FERGUSON MD

Original Issue Date

06/24/2013

Effective Date

06/24/2013

Expiration Date

06/23/2016

City

NEW YORK

State

Zip

10065

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

03/24/2014