MUKESHKUMAR K MODI Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051032556

License Status

INACTIVE

Business

First Name

MUKESHKUMAR K

Last Name

MODI

Business Name

MUKESHKUMAR K MODI

Original Issue Date

05/14/1979

Effective Date

05/14/1979

Expiration Date

03/31/2000

City

CHINO HILLS

State

Zip

91709

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

12/06/2005