Vilayphone Sivongsa
ActiveCalifornia license 139321
License
- Licensed by
- California State Board of Pharmacy
- License number
- 139321
- Status
- Active
- First issued
- April 10, 2014
- Expires
- March 31, 2028
- License holder
- Vilayphone Sivongsa
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- License type code
- TCH
- School
- University Of The Pacific (calif)
- Year graduated
- 2014
- Degree
- Degree Not Applicable
Contact
5047 Indian Island Dr
Weed, CA 96094
Weed, CA 96094
Siskiyou County