TIMOTHY S FERGUSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049058604

License Status

NOT RENEWED

Business

First Name

TIMOTHY S

Last Name

FERGUSON

Business Name

TIMOTHY S FERGUSON

Original Issue Date

10/28/1972

Effective Date

10/28/1972

Expiration Date

01/01/1997

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005