RUSSELL SCOTT FERGUSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049135952

License Status

NOT RENEWED

Business

First Name

RUSSELL

Middle

SCOTT

Last Name

FERGUSON

Business Name

RUSSELL SCOTT FERGUSON

Original Issue Date

04/19/2001

Effective Date

04/19/2001

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005