BYRON KEITH FERGUSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049142773

License Status

NOT RENEWED

Business

First Name

BYRON

Middle

KEITH

Last Name

FERGUSON

Business Name

BYRON KEITH FERGUSON

Original Issue Date

05/30/2002

Effective Date

05/30/2002

Expiration Date

03/31/2003

City

WAUKEGAN

State

Zip

60087

County

LAKE

Ever Disciplined

LastModifiedDate

10/20/2005