ANTHONY JAMES INGRAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049259190

License Status

NOT RENEWED

Business

First Name

ANTHONY

Middle

JAMES

Last Name

INGRAM

Business Name

ANTHONY JAMES INGRAM

Original Issue Date

08/15/2018

Effective Date

08/15/2018

Expiration Date

03/31/2019

City

JACKSONVILLE

State

Zip

62650

Ever Disciplined

LastModifiedDate

07/15/2019