MARIAH NICOLE FAIOLA-FERGUSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049261484

License Status

NOT RENEWED

Business

First Name

MARIAH

Middle

NICOLE

Last Name

FAIOLA-FERGUSON

Business Name

MARIAH NICOLE FAIOLA-FERGUSON

Original Issue Date

11/28/2018

Effective Date

04/02/2021

Expiration Date

05/31/2022

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022