KAYLA ICENOGLE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049266502

License Status

NOT RENEWED

Business

First Name

KAYLA

Last Name

ICENOGLE

Business Name

KAYLA ICENOGLE

Original Issue Date

07/08/2019

Effective Date

07/08/2019

Expiration Date

09/30/2020

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Ever Disciplined

LastModifiedDate

01/08/2021