ANN M FERGUSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157211

License Status

NOT RENEWED

Business

First Name

ANN

Middle

Last Name

FERGUSON

Business Name

ANN M FERGUSON

Original Issue Date

09/24/2004

Effective Date

09/24/2004

Expiration Date

03/31/2006

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/11/2006