LESLIE A FERGUSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049126598

License Status

NOT RENEWED

Business

First Name

LESLIE

Middle

Last Name

FERGUSON

Business Name

LESLIE A FERGUSON

Original Issue Date

07/02/1999

Effective Date

07/02/1999

Expiration Date

03/31/2003

City

CREST HILL

State

Zip

60435

County

WILL

Ever Disciplined

LastModifiedDate

10/20/2005