KATHLEEN FERGUSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049062406

License Status

NOT RENEWED

Business

First Name

KATHLEEN

Last Name

FERGUSON

Business Name

KATHLEEN FERGUSON

Original Issue Date

10/18/1974

Effective Date

10/18/1974

Expiration Date

01/01/1997

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/17/2005