JAMES WESLEY FERGUSON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

RESTRICTED FACULTY LICENSE

License Number

136000043

License Status

NOT RENEWED

Business

First Name

JAMES WESLEY

Last Name

FERGUSON

Business Name

JAMES WESLEY FERGUSON

Original Issue Date

05/01/1997

Effective Date

05/01/1997

Expiration Date

06/30/2000

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

10/13/2005