The holder whose full name is FERGUSON JR, ARCHIE F,come from WARSAW IN,hold the CSR-Dentist license(NO.12005299B) which status is Expired.
| Name | FERGUSON JR, ARCHIE F |
|---|---|
| License Number | 12005299B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | WARSAW |
| State | IN |