SHEFALI FERGUSON Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****16

License Status

INOPERATIVE

Business

First Name

SHEFALI

Last Name

FERGUSON

Business Name

SHEFALI FERGUSON

Original Issue Date

08/26/2021

Effective Date

01/10/2024

Expiration Date

03/01/2026

City

CHICAGO

State

Zip

60607

Ever Disciplined

LastModifiedDate

12/03/2025