RUSSELL SCOTT FERGUSON - Pharmacist License in Illinois | # 049135952

RUSSELL SCOTT FERGUSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049135952

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005