SHANNON MARIE FERGUSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049098795

License Status

NOT RENEWED

Business

First Name

SHANNON

Middle

MARIE

Last Name

FERGUSON

Business Name

SHANNON MARIE FERGUSON

Original Issue Date

11/27/1991

Effective Date

11/27/1991

Expiration Date

03/31/1999

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005