JUSTIN R INGRAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049205109

License Status

NOT RENEWED

Business

First Name

JUSTIN

Middle

Last Name

INGRAM

Business Name

JUSTIN R INGRAM

Original Issue Date

07/05/2011

Effective Date

02/13/2019

Expiration Date

09/30/2020

City

WILMINGTON

State

Zip

60481

County

WILL

Ever Disciplined

LastModifiedDate

01/08/2021