SHAWN P FERGUSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049182217

License Status

NOT RENEWED

Business

First Name

SHAWN

Middle

Last Name

FERGUSON

Prefix

Business Name

SHAWN P FERGUSON

Original Issue Date

02/17/2008

Effective Date

01/23/2012

Expiration Date

03/31/2013

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/06/2013