WILLIAMS L INGRAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049177224

License Status

NOT RENEWED

Business

First Name

WILLIAMS

Middle

Last Name

INGRAM

Business Name

WILLIAMS L INGRAM

Original Issue Date

06/20/2007

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

05/06/2009