SHASHANK D MODI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049224792

License Status

NOT RENEWED

Business

First Name

SHASHANK

Middle

Last Name

MODI

Business Name

SHASHANK D MODI

Original Issue Date

04/24/2014

Effective Date

01/12/2018

Expiration Date

03/31/2019

City

PALATINE

State

Zip

60067

County

COOK

Ever Disciplined

LastModifiedDate

07/15/2019