LAVERNE ANN FERGUSON - Dentist License in Connecticut | # 019018148

LAVERNE ANN FERGUSON

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019018148

License Status

NOT RENEWED

Business

N

First Name

LAVERNE ANN

Last Name

FERGUSON

Business Name

LAVERNE ANN FERGUSON

Original Issue Date

07/16/1982

Effective Date

07/16/1982

Expiration Date

09/30/1984

State

CT

Ever Disciplined

N

LastModifiedDate

10/12/2005