TANESSA LOLENE FERGUSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049119032

License Status

NOT RENEWED

Business

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

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005