SABLE ICENOGLE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049272150

License Status

NOT RENEWED

Business

First Name

SABLE

Last Name

ICENOGLE

Business Name

SABLE ICENOGLE

Original Issue Date

03/30/2020

Effective Date

03/30/2020

Expiration Date

03/31/2021

City

INDUSTRY

State

Zip

61440

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

07/20/2021