KYLIE FERGUSON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020017138

License Status

NOT RENEWED

Business

First Name

KYLIE

Last Name

FERGUSON

Business Name

KYLIE FERGUSON

Original Issue Date

12/23/2020

Effective Date

12/23/2020

Expiration Date

01/31/2022

City

DAVENPORT

State

Zip

52803

Ever Disciplined

LastModifiedDate

05/09/2022