PALAK BIPIN MODI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049161343

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60654

County

COOK

Ever Disciplined

LastModifiedDate

05/14/2007