RICHARD D WAHLSTROM - Pharmacist License in Illinois | # 049058870

RICHARD D WAHLSTROM

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049058870

License Status

CANCELLED

Business

N

First Name

RICHARD D

Last Name

WAHLSTROM

Business Name

RICHARD D WAHLSTROM

Original Issue Date

12/30/1972

Effective Date

12/30/1972

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005