License holder summary

Crystal Diana Ferguson is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Crystal Diana Ferguson is Children's Dental Center, 7863 Broadway Center Suite 111, Merrillville IN 46410. This licensed professional license is current. The license was granted 10/22/2009 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Crystal Diana Ferguson
Controlled Substance Registration - Dentist
License number
12011366B
Date granted
10/22/2009
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Children's Dental Center, 7863 Broadway Center Suite 111, Merrillville IN 46410
indianalicensing.org
ID 5110847
LAST UPDATED 2024-04-15 08:41:09 UTC

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