VICKIE LYNN FERGUSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049065667

License Status

NOT RENEWED

Business

First Name

VICKIE LYNN

Last Name

FERGUSON

Business Name

VICKIE LYNN FERGUSON

Original Issue Date

07/02/1976

Effective Date

07/02/1976

Expiration Date

01/01/1997

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005