ELLYS ADRIAN MUNGKAS GECOSALA Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049296432

License Status

ACTIVE

Business

First Name

ELLYS

Middle

ADRIAN MUNGKAS

Last Name

GECOSALA

Business Name

ELLYS ADRIAN MUNGKAS GECOSALA

Original Issue Date

10/06/2022

Effective Date

02/12/2026

Expiration Date

03/31/2027

City

BOLINGBROOK

State

Zip

60490

County

WILL

Ever Disciplined

LastModifiedDate

02/12/2026