CRYSTAL D FERGUSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****16

License Status

NOT RENEWED

Business

Title

DDS

First Name

CRYSTAL

Middle

Last Name

FERGUSON

Business Name

CRYSTAL D FERGUSON DDS

Original Issue Date

12/18/2015

Effective Date

12/18/2015

Expiration Date

09/30/2018

City

CHICAGO

State

Zip

60643

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018