CRYSTAL D FERGUSON DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021002651

License Status

INACTIVE

Business

Title

DDS

First Name

CRYSTAL

Middle

Last Name

FERGUSON

Business Name

CRYSTAL D FERGUSON DDS

Original Issue Date

04/16/2015

Effective Date

09/21/2015

Expiration Date

09/30/2018

City

CHICAGO

State

Zip

60643

County

COOK

Specialty/Qualifier

PEDIATRIC DENTISTRY

Ever Disciplined

LastModifiedDate

06/07/2018