JEMYRA FASHAM INGRAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154990

License Status

NOT RENEWED

Business

First Name

JEMYRA

Middle

FASHAM

Last Name

INGRAM

Business Name

JEMYRA FASHAM INGRAM

Original Issue Date

06/11/2004

Effective Date

06/11/2004

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005