SATYA PANKAJ MODI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049146774

License Status

NOT RENEWED

Business

First Name

SATYA

Middle

PANKAJ

Last Name

MODI

Business Name

SATYA PANKAJ MODI

Original Issue Date

01/23/2003

Effective Date

03/31/2009

Expiration Date

03/31/2010

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/04/2010