SHARON T INGRAM Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

NOT RENEWED

Business

First Name

SHARON

Middle

Last Name

INGRAM

Business Name

SHARON T INGRAM

Original Issue Date

03/23/2006

Effective Date

04/28/2011

Expiration Date

07/31/2014

City

PONTIAC

State

Zip

61764

County

LIVINGSTON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014