JESSICA R INGRAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049151019

License Status

NOT RENEWED

Business

First Name

JESSICA

Middle

Last Name

INGRAM

Business Name

JESSICA R INGRAM

Original Issue Date

09/25/2003

Effective Date

01/10/2021

Expiration Date

05/31/2022

City

FARMINGTON

State

Zip

61531

County

PEORIA

Ever Disciplined

LastModifiedDate

07/27/2022