MACKENZIE LEA INGRAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049276788

License Status

NOT RENEWED

Business

First Name

MACKENZIE

Middle

LEA

Last Name

INGRAM

Business Name

MACKENZIE LEA INGRAM

Original Issue Date

10/19/2020

Effective Date

02/04/2021

Expiration Date

05/31/2022

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

07/27/2022