DEBRA L INGRAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049095429

License Status

NOT RENEWED

Business

First Name

DEBRA L

Last Name

INGRAM

Business Name

DEBRA L INGRAM

Original Issue Date

12/29/1990

Effective Date

12/29/1990

Expiration Date

03/31/1998

City

BARTONVILLE

State

Zip

61607

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005