PURVI B MODY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049129250

License Status

NOT RENEWED

Business

First Name

PURVI

Middle

Last Name

MODY

Business Name

PURVI B MODY

Original Issue Date

02/14/2000

Effective Date

02/14/2000

Expiration Date

03/31/2003

City

GLENDALE HEIGHTS

State

Zip

60139

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/20/2005