MATTHEW GRAHAM MODRAK Pharmacist License verification

Business Entity

Non Sufficient Fund Check Terminated

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049127132

License Status

Non Sufficient Fund Check Terminated

Business

First Name

MATTHEW

Middle

GRAHAM

Last Name

MODRAK

Business Name

MATTHEW GRAHAM MODRAK

Original Issue Date

08/24/1999

Effective Date

08/24/1999

Expiration Date

03/31/2003

City

ALSIP

State

Zip

60803

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005