KATHY LOIS FERGUSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049141064

License Status

NOT RENEWED

Business

First Name

KATHY

Middle

LOIS

Last Name

FERGUSON

Business Name

KATHY LOIS FERGUSON

Original Issue Date

02/28/2002

Effective Date

02/28/2002

Expiration Date

03/31/2003

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Ever Disciplined

LastModifiedDate

10/20/2005