PHILIP MARK INGERSOLL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049058844

License Status

NOT RENEWED

Business

First Name

PHILIP MARK

Last Name

INGERSOLL

Business Name

PHILIP MARK INGERSOLL

Original Issue Date

12/30/1972

Effective Date

12/30/1972

Expiration Date

01/01/1997

City

CREVE COEUR

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/17/2005