License Directory

Alejandra V Provencio

Active

California license 101913

License

Licensed by
California State Board of Pharmacy
License number
101913
Status
Active
First issued
May 12, 2010
Expires
February 29, 2028
License holder
Alejandra V Provencio
Entity type
Individual

Classifications

More from the license record

License type code
TCH
School
Samford University (alabama)
Year graduated
2010
Degree
Degree Not Applicable

Contact

1064 Campanula Ave
Ventura, CA 93004
Ventura County