KELSEY DYIEMA MOORE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049261617

License Status

NOT RENEWED

Business

First Name

KELSEY

Middle

DYIEMA

Last Name

MOORE

Business Name

KELSEY DYIEMA MOORE

Original Issue Date

11/30/2018

Effective Date

02/04/2019

Expiration Date

09/30/2020

City

BLOOMINGTON

State

Zip

61705

County

MCLEAN

Ever Disciplined

LastModifiedDate

01/08/2021

Case Number

2019008563

Action

Revocation

Discipline Start Date

12/07/2020

Discipline Reason

pharmacy technician license revoked due to drug diversion.