KISHORKUMAR C MODI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049080880

License Status

NOT RENEWED

Business

First Name

KISHORKUMAR C

Last Name

MODI

Business Name

KISHORKUMAR C MODI

Original Issue Date

03/22/1985

Effective Date

03/22/1985

Expiration Date

03/31/2004

City

DES PLAINES

State

Zip

60018

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005