PAUL D DEWILDE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051024734

License Status

NOT RENEWED

Business

First Name

PAUL D

Last Name

DEWILDE

Business Name

PAUL D DEWILDE

Original Issue Date

01/01/1997

Effective Date

02/24/2016

Expiration Date

03/31/2018

City

SILVIS

State

Zip

61282

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

06/19/2018

Case Number

2014002473

Action

Reprimand

Discipline Start Date

11/09/2015

Discipline Reason

as a result of diverting controlled substances from his pharmacy employer for personal use.