NICOLE LILES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049128600

License Status

NOT RENEWED

Business

First Name

NICOLE

Last Name

LILES

Business Name

NICOLE LILES

Original Issue Date

12/15/1999

Effective Date

03/06/2015

Expiration Date

03/31/2016

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/02/2016

Case Number

2015007508

Action

Suspension

Discipline Start Date

10/02/2016

Discipline Reason

after she diverted controlled substances from her employer.