DOUGLAS ERIC SAMUELSON Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051034415

License Status

INACTIVE

Business

First Name

DOUGLAS ERIC

Last Name

SAMUELSON

Business Name

DOUGLAS ERIC SAMUELSON

Original Issue Date

08/10/1982

Effective Date

01/14/2020

Expiration Date

07/31/2022

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

07/09/2022

Case Number

2007009355

Action

Probation

Discipline Start Date

09/03/2008

Discipline End Date

09/02/2012

Discipline Reason

Diverting controlled substances.