KENIELLE MONIQUE INGRAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049174060

License Status

NOT RENEWED

Business

First Name

KENIELLE

Middle

MONIQUE

Last Name

INGRAM

Business Name

KENIELLE MONIQUE INGRAM

Original Issue Date

01/31/2007

Effective Date

03/04/2010

Expiration Date

03/31/2011

City

RIVERDALE

State

Zip

60827

County

COOK

Ever Disciplined

LastModifiedDate

05/12/2011