PALAK BIPIN MODI - Pharmacist License in Illinois | # 049161343

PALAK BIPIN MODI

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049161343

License Status

NOT RENEWED

Business

N

First Name

PALAK

Middle

BIPIN

Last Name

MODI

Business Name

PALAK BIPIN MODI

Original Issue Date

05/25/2005

Effective Date

01/19/2006

Expiration Date

03/31/2007

State

IL

Ever Disciplined

N

LastModifiedDate

05/14/2007