DAVID INGRAM JOHNSON Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051028583

License Status

INACTIVE

Business

First Name

DAVID INGRAM

Last Name

JOHNSON

Business Name

DAVID INGRAM JOHNSON

Original Issue Date

01/01/1997

Effective Date

01/17/2012

Expiration Date

03/31/2014

City

NEW LENOX

State

Zip

60451

County

WILL

Ever Disciplined

LastModifiedDate

01/09/2014