JUSTIN R INGRAM - Pharmacist License in Illinois | # 049205109

JUSTIN R INGRAM

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049205109

License Status

NOT RENEWED

Business

N

First Name

JUSTIN

Middle

R

Last Name

INGRAM

Business Name

JUSTIN R INGRAM

Original Issue Date

07/05/2011

Effective Date

02/13/2019

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/08/2021