MODINE ALLEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049191573

License Status

NOT RENEWED

Business

First Name

MODINE

Last Name

ALLEN

Prefix

Business Name

MODINE ALLEN

Original Issue Date

05/09/2009

Effective Date

02/02/2010

Expiration Date

03/31/2011

City

CHICAGO

State

Zip

60651

County

COOK

Ever Disciplined

LastModifiedDate

05/12/2011