MUKESHKUMAR K MODI - Pharmacist License in Illinois | # 049068316

MUKESHKUMAR K MODI

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049068316

License Status

CANCELLED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005