MACKENZIE LEA INGRAM - Pharmacist License in Illinois | # 049276788

MACKENZIE LEA INGRAM

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049276788

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2022