Krishna Venkata Gumidyala
ExpiredIllinois license 049121058
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049121058
- Status
- Expired (Not Renewed)
- First issued
- May 19, 1998
- Expired
- March 31, 1999
- License holder
- Krishna Venkata Gumidyala
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 05/19/1998
Contact
Moline, IL 61265
Rock Island County