JUSTIN TYLER SIPES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049252082

License Status

NOT RENEWED

Business

First Name

JUSTIN

Middle

TYLER

Last Name

SIPES

Business Name

JUSTIN TYLER SIPES

Original Issue Date

07/31/2017

Effective Date

03/07/2018

Expiration Date

03/31/2019

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

12/10/2019

Case Number

2018012484

Action

Refuse To Renew

Discipline Start Date

11/18/2019

Discipline Reason

due to having engaged in the diversion of controlled substances.