PEGGIE A INGRAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049068991

License Status

NOT RENEWED

Business

First Name

PEGGIE A

Last Name

INGRAM

Business Name

PEGGIE A INGRAM

Original Issue Date

03/17/1978

Effective Date

03/17/1978

Expiration Date

01/01/1997

City

PONTIAC

State

Zip

61764

County

LIVINGSTON

Ever Disciplined

LastModifiedDate

10/17/2005