WENDY L MODINE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049114879

License Status

NOT RENEWED

Business

First Name

WENDY L

Last Name

MODINE

Business Name

WENDY L MODINE

Original Issue Date

08/06/1996

Effective Date

02/02/2016

Expiration Date

03/31/2017

City

SOMONAUK

State

Zip

60552

County

DEKALB

Ever Disciplined

LastModifiedDate

05/10/2017