PRAKRUTI B MODI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049162680

License Status

NOT RENEWED

Business

First Name

PRAKRUTI

Middle

Last Name

MODI

Business Name

PRAKRUTI B MODI

Original Issue Date

08/02/2005

Effective Date

01/27/2014

Expiration Date

03/31/2015

City

CAROL STREAM

State

Zip

60188

Ever Disciplined

LastModifiedDate

05/11/2015