BETHANY JO INGRUM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049160860

License Status

NOT RENEWED

Business

First Name

BETHANY

Middle

Last Name

INGRUM

Business Name

BETHANY JO INGRUM

Original Issue Date

05/06/2005

Effective Date

05/06/2005

Expiration Date

03/31/2006

City

PARIS

State

Zip

61944

County

EDGAR

Ever Disciplined

LastModifiedDate

05/11/2006