SHITAL DHARMENDRA MODI - Pharmacist License in Illinois | # 049300726

SHITAL DHARMENDRA MODI

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049300726

License Status

NOT RENEWED

Business

N

First Name

SHITAL

Middle

DHARMENDRA

Last Name

MODI

Business Name

SHITAL DHARMENDRA MODI

Original Issue Date

03/21/2023

Effective Date

03/21/2023

Expiration Date

03/31/2024

State

IL

Ever Disciplined

N

LastModifiedDate

01/03/2025