Luchinni Monty Prabowo-Mandayo
ExpiredIllinois license 049267064
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049267064
- Status
- Expired (Not Renewed)
- First issued
- August 2, 2019
- Expired
- September 30, 2020
- License holder
- Luchinni Monty Prabowo-Mandayo
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 08/02/2019
Contact
Chicago, IL 60659
Cook County