NICOLE A WILSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158547

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

WILSON

Business Name

NICOLE A WILSON

Original Issue Date

12/22/2004

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Ever Disciplined

LastModifiedDate

08/19/2008

Case Number

2007008446

Action

Refuse To Renew

Discipline Start Date

08/19/2008

Discipline Reason

Diversion of controlled substances.