NIRAV V MODI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049166190

License Status

NOT RENEWED

Business

First Name

NIRAV

Middle

Last Name

MODI

Business Name

NIRAV V MODI

Original Issue Date

01/20/2006

Effective Date

03/29/2018

Expiration Date

03/31/2019

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

07/15/2019