KRYSTAL LEE FERGUSON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020016822

License Status

NOT RENEWED

Business

First Name

KRYSTAL

Middle

LEE

Last Name

FERGUSON

Business Name

KRYSTAL LEE FERGUSON

Original Issue Date

02/04/2020

Effective Date

02/04/2020

Expiration Date

01/31/2022

City

HANNIBAL

State

Zip

63401

County

MARION

Ever Disciplined

LastModifiedDate

05/09/2022