BHAVIK R MODI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155605

License Status

NOT RENEWED

Business

First Name

BHAVIK

Middle

Last Name

MODI

Business Name

BHAVIK R MODI

Original Issue Date

06/23/2004

Effective Date

06/23/2004

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60659

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005