KIMBERLY A NYSTROM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049207039

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

Last Name

NYSTROM

Business Name

KIMBERLY A NYSTROM

Original Issue Date

09/30/2011

Effective Date

03/19/2015

Expiration Date

03/31/2016

City

DIAMOND

State

Zip

60416

County

GRUNDY

Ever Disciplined

LastModifiedDate

05/20/2016

Case Number

2011004394

Action

Probation

Discipline Start Date

09/30/2011

Discipline End Date

09/29/2013

Discipline Reason

after she disclosed criminal convictions, the last of which occurred in 2001.