INGRID JANE SWANSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154119

License Status

NOT RENEWED

Business

First Name

INGRID

Middle

JANE

Last Name

SWANSON

Business Name

INGRID JANE SWANSON

Original Issue Date

04/20/2004

Effective Date

04/20/2004

Expiration Date

03/31/2005

City

ORLAND PARK

State

Zip

60462

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005