License Directory

Adidas Phrommavongxay

Active

California license 166061

License

Licensed by
California State Board of Pharmacy
License number
166061
Status
Active
First issued
May 8, 2018
Expires
January 31, 2028
License holder
Adidas Phrommavongxay
Entity type
Individual

Classifications

More from the license record

License type code
TCH
School
University Of The Pacific (calif)
Year graduated
2018
Degree
Degree Not Applicable

Contact

9469 E Park Dr
Elk Grove, CA 95624
Sacramento County