SUSAN T A FERGUSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049180181

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

T A

Last Name

FERGUSON

Business Name

SUSAN T A FERGUSON

Original Issue Date

10/26/2007

Effective Date

10/26/2007

Expiration Date

03/31/2008

City

MATTESON

State

Zip

60443

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008