ESTACIA JEAN FERGUSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049202838

License Status

NOT RENEWED

Business

First Name

ESTACIA

Middle

JEAN

Last Name

FERGUSON

Business Name

ESTACIA JEAN FERGUSON

Original Issue Date

02/22/2011

Effective Date

01/31/2012

Expiration Date

03/31/2013

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Ever Disciplined

LastModifiedDate

05/06/2013