Prem Shukla
ExpiredIllinois license 049268772
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049268772
- Status
- Expired (Not Renewed)
- First issued
- October 21, 2019
- Expired
- September 30, 2020
- License holder
- Prem Shukla
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 10/21/2019
Contact
Joliet, IL 60435
Will County