PURVI N MODY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049122151

License Status

NOT RENEWED

Business

First Name

PURVI

Middle

Last Name

MODY

Business Name

PURVI N MODY

Original Issue Date

07/28/1998

Effective Date

07/28/1998

Expiration Date

03/31/2001

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/21/2005