SHIVANI MODI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049224120

License Status

NOT RENEWED

Business

First Name

SHIVANI

Last Name

MODI

Business Name

SHIVANI MODI

Original Issue Date

03/26/2014

Effective Date

01/27/2015

Expiration Date

03/31/2016

City

SCHILLER PARK

State

Zip

60176

County

COOK

Ever Disciplined

LastModifiedDate

05/20/2016