MATTHEW A INGRAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049108153

License Status

NOT RENEWED

Business

First Name

MATTHEW A

Last Name

INGRAM

Business Name

MATTHEW A INGRAM

Original Issue Date

09/23/1994

Effective Date

09/23/1994

Expiration Date

03/31/1996

City

BROADVIEW

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005