NICHOLE SUE KLINE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049170772

License Status

NOT RENEWED

Business

First Name

NICHOLE

Middle

SUE

Last Name

KLINE

Business Name

NICHOLE SUE KLINE

Original Issue Date

08/23/2006

Effective Date

03/27/2012

Expiration Date

03/31/2013

City

TAYLORVILLE

State

Zip

62568

County

CHRISTIAN

Ever Disciplined

LastModifiedDate

05/06/2013

Case Number

2011010393

Action

Suspension

Discipline Start Date

06/08/2012

Discipline Reason

For diverting controlled substances form her pharmacy employer for self use.