JENNY BROOKE FERGUSON Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046010204

License Status

INACTIVE

Business

First Name

JENNY

Middle

BROOKE

Last Name

FERGUSON

Business Name

JENNY BROOKE FERGUSON

Original Issue Date

06/22/2009

Effective Date

01/17/2014

Expiration Date

03/31/2016

City

BAXTER

State

Zip

50028

County

IOWA

Ever Disciplined

LastModifiedDate

02/03/2016