NICOLE LYNN STEVENS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049171934

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

LYNN

Last Name

STEVENS

Business Name

NICOLE LYNN STEVENS

Original Issue Date

10/13/2006

Effective Date

10/13/2006

Expiration Date

03/31/2007

City

DECATUR

State

Zip

62522

County

MACON

Ever Disciplined

LastModifiedDate

12/07/2009

Case Number

2009009528

Action

Refuse To Renew

Discipline Start Date

12/07/2009

Discipline Reason

due to being convicted of an offense requiring sex offender registration.