TRACY L ICENOGLE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049079825

License Status

NOT RENEWED

Business

First Name

TRACY L

Last Name

ICENOGLE

Business Name

TRACY L ICENOGLE

Original Issue Date

05/16/1984

Effective Date

05/16/1984

Expiration Date

03/31/1986

City

ARCOLA

State

Zip

61910

County

DOUGLAS

Ever Disciplined

LastModifiedDate

10/17/2005