PAYAL D MODI - Pharmacist License in Illinois | # 049154311

PAYAL D MODI

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154311

License Status

NOT RENEWED

Business

N

First Name

PAYAL

Middle

D

Last Name

MODI

Business Name

PAYAL D MODI

Original Issue Date

05/19/2004

Effective Date

02/06/2012

Expiration Date

03/31/2013

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2013