MATTHEW ALAN SIEMS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049189894

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

ALAN

Last Name

SIEMS

Business Name

MATTHEW ALAN SIEMS

Original Issue Date

02/24/2009

Effective Date

02/19/2010

Expiration Date

03/31/2011

City

ROUND LAKE BEACH

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

05/12/2011

Case Number

2010001898

Action

Suspension

Discipline Start Date

08/03/2010

Discipline Reason

after having admitted to the diversion of controlled substances for the purposes of resale from his former pharmacy employer.