BENJAMIN D FERGUSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

NOT RENEWED

Business

Title

First Name

BENJAMIN

Middle

Last Name

FERGUSON

Business Name

BENJAMIN D FERGUSON MD

Original Issue Date

07/07/2016

Effective Date

07/07/2016

Expiration Date

07/31/2017

City

NEW YORK

State

Zip

10065

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020