ZACHARY TYLER FERGUSON - Dentist License in Illinois | # 019032071

ZACHARY TYLER FERGUSON

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019032071

License Status

ACTIVE

Business

N

First Name

ZACHARY

Middle

TYLER

Last Name

FERGUSON

Business Name

ZACHARY TYLER FERGUSON

Original Issue Date

05/21/2019

Effective Date

09/09/2024

Expiration Date

09/30/2027

State

IL

Ever Disciplined

N

LastModifiedDate

09/09/2024