NATALIE MARIE INGRAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049171728

License Status

NOT RENEWED

Business

First Name

NATALIE

Middle

MARIE

Last Name

INGRAM

Business Name

NATALIE MARIE INGRAM

Original Issue Date

10/03/2006

Effective Date

10/03/2006

Expiration Date

03/31/2007

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

05/14/2007