KRISTINA MARIE INGRAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049151484

License Status

NOT RENEWED

Business

First Name

KRISTINA

Middle

MARIE

Last Name

INGRAM

Business Name

KRISTINA MARIE INGRAM

Original Issue Date

10/09/2003

Effective Date

10/09/2003

Expiration Date

03/31/2005

City

MARTINSVILLE

State

Zip

62442

County

CLARK

Ever Disciplined

LastModifiedDate

10/20/2005