DIANA L INGRAM - Pharmacist License in Illinois | # 049063670

DIANA L INGRAM

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049063670

License Status

NOT RENEWED

Business

N

First Name

DIANA

Middle

L

Last Name

INGRAM

Business Name

DIANA L INGRAM

Original Issue Date

06/13/1975

Effective Date

06/13/1975

Expiration Date

03/31/1989

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005