MITESHKUMAR N MODI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049168066

License Status

NOT RENEWED

Business

First Name

MITESHKUMAR

Middle

Last Name

MODI

Business Name

MITESHKUMAR N MODI

Original Issue Date

04/24/2006

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

SCHILLER PARK

State

Zip

60176

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2009