License Directory

Vilayphone Sivongsa

Active

California 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

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
Siskiyou County