KEELY KATHLEEN FERGUSON Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020014356

License Status

ACTIVE

Business

First Name

KEELY

Middle

KATHLEEN

Last Name

FERGUSON

Business Name

KEELY KATHLEEN FERGUSON

Original Issue Date

07/16/2013

Effective Date

08/02/2024

Expiration Date

09/30/2027

City

CLINTON

State

Zip

61727

County

DE WITT

Ever Disciplined

LastModifiedDate

08/02/2024