MANISH V MODI - Pharmacist License in Illinois | # 049145406

MANISH V MODI

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145406

License Status

NOT RENEWED

Business

N

First Name

MANISH

Middle

V

Last Name

MODI

Business Name

MANISH V MODI

Original Issue Date

10/18/2002

Effective Date

10/18/2002

Expiration Date

03/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005