D D MODHA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049062339

License Status

NOT RENEWED

Business

First Name

D D

Last Name

MODHA

Business Name

D D MODHA

Original Issue Date

10/04/1974

Effective Date

10/04/1974

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005