TRACY IRENE INGRAM - Pharmacist License in Illinois | # 049132756

TRACY IRENE INGRAM

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049132756

License Status

NOT RENEWED

Business

N

First Name

TRACY

Middle

IRENE

Last Name

INGRAM

Business Name

TRACY IRENE INGRAM

Original Issue Date

09/20/2000

Effective Date

09/20/2000

Expiration Date

03/31/2003

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005