CRYSTAL R FERN Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002112

License Status

INACTIVE

Business

First Name

CRYSTAL R

Last Name

FERN

Business Name

CRYSTAL R FERN

Original Issue Date

10/25/1973

Effective Date

10/25/1973

Expiration Date

09/30/2002

City

WINTER PARK

State

Zip

32792

County

FLORIDA

Ever Disciplined

LastModifiedDate

10/17/2005