KYLE BRANDON INGRAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049172573

License Status

NOT RENEWED

Business

First Name

KYLE

Middle

BRANDON

Last Name

INGRAM

Business Name

KYLE BRANDON INGRAM

Original Issue Date

11/15/2006

Effective Date

03/18/2013

Expiration Date

03/31/2014

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/06/2014