Ellys Adrian Mungkas Gecosala
ActiveIllinois license 049296432
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049296432
- Status
- Active
- First issued
- October 6, 2022
- Expires
- March 31, 2027
- License holder
- Ellys Adrian Mungkas Gecosala
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 02/12/2026
Contact
Bolingbrook, IL 60490
Will County