MARY ELLEN INGRAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049276008

License Status

NOT RENEWED

Business

First Name

MARY

Middle

ELLEN

Last Name

INGRAM

Business Name

MARY ELLEN INGRAM

Original Issue Date

09/21/2020

Effective Date

02/25/2021

Expiration Date

05/31/2022

City

CARLYLE

State

Zip

62231

County

MARION

Ever Disciplined

LastModifiedDate

07/27/2022