CHELSEA L ICENOGLE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049266818

License Status

NOT RENEWED

Business

First Name

CHELSEA

Middle

Last Name

ICENOGLE

Business Name

CHELSEA L ICENOGLE

Original Issue Date

07/23/2019

Effective Date

07/23/2019

Expiration Date

09/30/2020

City

MULBERRY GROVE

State

Zip

62262

County

FAYETTE

Ever Disciplined

LastModifiedDate

01/08/2021