KELLY K INGRAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049111849

License Status

NOT RENEWED

Business

First Name

KELLY K

Last Name

INGRAM

Business Name

KELLY K INGRAM

Original Issue Date

09/19/1995

Effective Date

09/19/1995

Expiration Date

03/31/1996

City

PONTIAC

State

Zip

61764

County

LIVINGSTON

Ever Disciplined

LastModifiedDate

10/17/2005