PURVI N MODY - Pharmacist License in Washington | # 051288070

PURVI N MODY

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051288070

License Status

NOT RENEWED

Business

N

First Name

PURVI

Middle

N

Last Name

MODY

Business Name

PURVI N MODY

Original Issue Date

01/17/2001

Effective Date

03/31/2004

Expiration Date

03/31/2006

State

WA

Ever Disciplined

N

LastModifiedDate

05/11/2006