MANISH V MODI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145406

License Status

NOT RENEWED

Business

First Name

MANISH

Middle

Last Name

MODI

Business Name

MANISH V MODI

Original Issue Date

10/18/2002

Effective Date

10/18/2002

Expiration Date

03/31/2005

City

DES PLAINES

State

Zip

60018

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005