PRAKRUTI B MODI - Pharmacist License in Illinois | # 049162680

PRAKRUTI B MODI

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049162680

License Status

NOT RENEWED

Business

N

First Name

PRAKRUTI

Middle

B

Last Name

MODI

Business Name

PRAKRUTI B MODI

Original Issue Date

08/02/2005

Effective Date

01/27/2014

Expiration Date

03/31/2015

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2015