SUZANNE N FERGUSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049130317

License Status

NOT RENEWED

Business

First Name

SUZANNE

Middle

Last Name

FERGUSON

Business Name

SUZANNE N FERGUSON

Original Issue Date

03/30/2000

Effective Date

03/30/2000

Expiration Date

03/31/2002

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

12/06/2005