NICOLE MARIE DYER Pharmacist License verification

NICOLE MARIE DYER

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049163770

License Status

INACTIVE

Business

First Name

NICOLE

Middle

MARIE

Last Name

DYER

Business Name

NICOLE MARIE DYER

Original Issue Date

09/12/2005

Effective Date

02/14/2011

Expiration Date

03/31/2012

City

ASHLAND

State

Zip

62612

County

CASS

Ever Disciplined

LastModifiedDate

03/12/2013

Case Number

2012001981

Action

Refuse To Renew

Discipline Start Date

03/06/2013

Discipline Reason

after the Department received information that she diverted controlled substances from her former pharmacyer employer by engaging in conduct including forging prescriptions.