PURVI N MODY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051288070

License Status

NOT RENEWED

Business

First Name

PURVI

Middle

Last Name

MODY

Business Name

PURVI N MODY

Original Issue Date

01/17/2001

Effective Date

03/31/2004

Expiration Date

03/31/2006

City

SEATTLE

State

Zip

98105

County

WASHINGTON

Ever Disciplined

LastModifiedDate

05/11/2006