License Directory

Anasuya S Brahmamdam

Expired

Illinois license 036129739

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
036129739
Status
Expired (Not Renewed)
First issued
March 7, 2012
Expired
July 31, 2017
License holder
Anasuya S Brahmamdam
Entity type
Individual

Classifications

More from the license record

Current term began
04/24/2014

Other Illinois licenses under this name

  • IL
    Anasuya S Brahmamdam
    License 049142107
    Pharmacy Technician
    Expired
    Springfield, IL
    Expired Mar 31, 2008
  • IL
    Anasuya S Brahmamdam
    License 125056501
    Temporary Medical Permit
    Inactive
    Chicago, IL
    Expired Jun 30, 2012
  • IL
    Anasuya S Brahmamdam
    License 33*****81
    Licensed Physician Controlled Substance (Medical Board)
    Expired
    Springfield, IL
    Expired Jul 31, 2017

Contact

Springfield, IL 62711
Sangamon County