The holder whose full name is FERGUSON, DAVID ARTHUR,come from FORT WAYNE IN,hold the CSR-Dentist license(NO.12005397B) which status is Expired.
Name | FERGUSON, DAVID ARTHUR |
---|---|
License Number | 12005397B |
License Type | CSR-Dentist |
License Status | Expired |
City | FORT WAYNE |
State | IN |