SHASHANK D MODI - Pharmacist License in Illinois | # 049224792

SHASHANK D MODI

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049224792

License Status

NOT RENEWED

Business

N

First Name

SHASHANK

Middle

D

Last Name

MODI

Business Name

SHASHANK D MODI

Original Issue Date

04/24/2014

Effective Date

01/12/2018

Expiration Date

03/31/2019

State

IL

Ever Disciplined

N

LastModifiedDate

07/15/2019