MUKESHKUMAR K MODI Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049068316

License Status

CANCELLED

Business

First Name

MUKESHKUMAR K

Last Name

MODI

Business Name

MUKESHKUMAR K MODI

Original Issue Date

10/21/1977

Effective Date

10/21/1977

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005