RICHARD K INGRAM Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051031633

License Status

INACTIVE

Business

First Name

RICHARD K

Last Name

INGRAM

Business Name

RICHARD K INGRAM

Original Issue Date

08/18/1977

Effective Date

02/20/2018

Expiration Date

09/30/2020

City

ST JOSEPH

State

Zip

61873

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

01/04/2020