RANDOLPH CORNELIO FERGUSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049137169

License Status

NOT RENEWED

Business

First Name

RANDOLPH

Middle

CORNELIO

Last Name

FERGUSON

Business Name

RANDOLPH CORNELIO FERGUSON

Original Issue Date

07/09/2001

Effective Date

03/03/2020

Expiration Date

03/31/2021

City

CHICAGO

State

Zip

60624

County

COOK

Ever Disciplined

LastModifiedDate

07/20/2021