DIANA L INGRAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049063670

License Status

NOT RENEWED

Business

First Name

DIANA

Middle

Last Name

INGRAM

Business Name

DIANA L INGRAM

Original Issue Date

06/13/1975

Effective Date

06/13/1975

Expiration Date

03/31/1989

City

CHICAGO

State

Zip

60620

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005