ELESH D MODI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049109003

License Status

NOT RENEWED

Business

First Name

ELESH D

Last Name

MODI

Business Name

ELESH D MODI

Original Issue Date

12/05/1994

Effective Date

12/05/1994

Expiration Date

03/31/2006

City

ROSELLE

State

Zip

60172

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/11/2006