LAVERNE ANN FERGUSON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019018148

License Status

NOT RENEWED

Business

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

City

WEST SIMSBURY

State

Zip

06092

County

CONNECTICUT

Ever Disciplined

LastModifiedDate

10/12/2005