VIRAL T MODI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049130821

License Status

NOT RENEWED

Business

First Name

VIRAL

Middle

Last Name

MODI

Business Name

VIRAL T MODI

Original Issue Date

05/11/2000

Effective Date

05/11/2000

Expiration Date

03/31/2004

City

NAPERVILLE

State

Zip

60564

County

WILL

Ever Disciplined

LastModifiedDate

10/20/2005