Melani Sue Provost

License

Licensed by

California State Board of Pharmacy

License number

40904

Status

Active

First issued

August 4, 2022

Expires

August 1, 2027

License holder

Melani Sue Provost

Entity type

Individual

Classifications

• Designated Representative - 3pl Pharmacy

More from the license record

License type code

DRL

School

Other/fg

Year graduated

2022

Degree

Degree Not Applicable

Other California licenses under this name

• CA
  Melani Sue Provost

  License 26939

  Wls/mfg Designated Representative In Charge
  Active

  Boston, MA

  Expires Feb 1, 2027

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