TANESSA LOLENE FERGUSON - Pharmacist License in Illinois | # 049119032

TANESSA LOLENE FERGUSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049119032

License Status

NOT RENEWED

Business

N

First Name

TANESSA

Middle

LOLENE

Last Name

FERGUSON

Business Name

TANESSA LOLENE FERGUSON

Original Issue Date

10/10/1997

Effective Date

10/10/1997

Expiration Date

03/31/1999

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005