RICHARD DAVID WAHLSTROM Pharmacist License verification

RICHARD DAVID WAHLSTROM

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051031184

License Status

NOT RENEWED

Business

First Name

RICHARD

Middle

DAVID

Last Name

WAHLSTROM

Business Name

RICHARD DAVID WAHLSTROM

Original Issue Date

08/06/1976

Effective Date

07/18/2017

Expiration Date

03/31/2018

City

SHOREWOOD

State

Zip

60404

County

WILL

Ever Disciplined

LastModifiedDate

06/19/2018

Case Number

2006012547

Action

Fine

Discipline Start Date

09/23/2009

Discipline Reason

failed to report a theft of controlled substances when he was the designated representative of a wholesale drug distributor; department inspection revealed multiple violations of the Illinois Wholesale Drug Distributor Licensing Act.