CRYSTAL D FERGUSON DDS - Dentist License in Illinois | # 021002651

CRYSTAL D FERGUSON DDS

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021002651

License Status

INACTIVE

Business

N

Title

DDS

First Name

CRYSTAL

Middle

D

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

State

IL

Specialty/Qualifier

PEDIATRIC DENTISTRY

Ever Disciplined

N

LastModifiedDate

06/07/2018