Manisha Gautam
ExpiredIllinois license 049239571
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049239571
- Status
- Expired (Not Renewed)
- First issued
- February 17, 2016
- Expired
- March 31, 2018
- License holder
- Manisha Gautam
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 03/20/2017
Contact
Chicago, IL 60614
Cook County