STACEY C FERGUSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049184273

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

Last Name

FERGUSON

Prefix

Business Name

STACEY C FERGUSON

Original Issue Date

05/14/2008

Effective Date

05/14/2008

Expiration Date

03/31/2009

City

OREM

State

Zip

84058

County

UTAH

Ever Disciplined

LastModifiedDate

05/06/2009