ATUL B MODI - Pharmacist License in Illinois | # 049107639

ATUL B MODI

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049107639

License Status

NOT RENEWED

Business

N

First Name

ATUL B

Last Name

MODI

Business Name

ATUL B MODI

Original Issue Date

07/19/1994

Effective Date

07/19/1994

Expiration Date

03/31/2000

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005