RANDOLPH MICHAEL INGRAM - Pharmacist License in Illinois | # 049271276

RANDOLPH MICHAEL INGRAM

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049271276

License Status

NOT RENEWED

Business

N

First Name

RANDOLPH

Middle

MICHAEL

Last Name

INGRAM

Business Name

RANDOLPH MICHAEL INGRAM

Original Issue Date

02/26/2020

Effective Date

03/10/2021

Expiration Date

05/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2022