MARK E FERGUSON Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****73

License Status

ACTIVE

Business

First Name

MARK

Middle

Last Name

FERGUSON

Business Name

MARK E FERGUSON

Original Issue Date

08/28/1996

Effective Date

01/08/2026

Expiration Date

03/31/2028

City

GODFREY

State

Zip

62035

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/08/2026