COREY JONATHAN INGRAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049180724

License Status

NOT RENEWED

Business

First Name

COREY

Middle

JONATHAN

Last Name

INGRAM

Business Name

COREY JONATHAN INGRAM

Original Issue Date

11/27/2007

Effective Date

02/04/2023

Expiration Date

03/31/2024

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

01/03/2025