Indra Mohanam
ExpiredIllinois license 049136699
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049136699
- Status
- Expired (Not Renewed)
- First issued
- June 13, 2001
- Expired
- March 31, 2015
- License holder
- Indra Mohanam
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 01/28/2014
Contact
Peoria, IL 61615
Peoria County