BRUCE W FERGUSON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000527

License Status

NOT RENEWED

Business

First Name

BRUCE W

Last Name

FERGUSON

Business Name

BRUCE W FERGUSON

Original Issue Date

03/19/1993

Effective Date

03/19/1993

Expiration Date

03/01/2000

City

WESTVILLE

State

Zip

61883

County

VERMILION

Ever Disciplined

LastModifiedDate

09/26/2006