ATUL B MODI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049107639

License Status

NOT RENEWED

Business

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

City

NILES

State

Zip

60714

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005