OMAR MODALALA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049270409

License Status

NOT RENEWED

Business

First Name

OMAR

Last Name

MODALALA

Business Name

OMAR MODALALA

Original Issue Date

01/17/2020

Effective Date

01/17/2020

Expiration Date

03/31/2021

City

WORTH

State

Zip

60482

County

COOK

Ever Disciplined

LastModifiedDate

07/20/2021