THOMAS D INGRAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049100883

License Status

NOT RENEWED

Business

First Name

THOMAS D

Last Name

INGRAM

Business Name

THOMAS D INGRAM

Original Issue Date

08/03/1992

Effective Date

08/03/1992

Expiration Date

03/31/1999

City

NORTHLAKE

State

Zip

60164

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005