David S Van Dyke

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

051034259

Status

Revoked or denied (Refuse To Renew)

First issued

May 11, 1982

Expired

March 31, 2004

License holder

David S Van Dyke

Entity type

Individual

Classifications

• Registered Pharmacist (Pharmacy) Pharmacy

More from the license record

Current term began

05/11/1982

Ever disciplined

Yes

Discipline case

2011000162

Discipline action

Refuse To Renew

Discipline reason

as a result of his pharmacist license having been summarily suspended by the New Mexico State Board of Pharmacy on or about October 22, 2010, for failure to undergo an evaluation by the New Mexico Monitored Treatment Program as ordered by the New Mexico State Board of Pharmacy's Impaired Health Care Provider Examining Committee on December 9, 2008.

Discipline dates

04/26/2011

Other Illinois licenses under this name

• IL
  David S Van Dyke

  License 129241193

  Permanent Employee Registration (Detective Board)
  Revoked or denied

  Carrier Mills, IL

  Expired May 31, 2003

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