Andrew John Wirjadisastra
ActiveCalifornia license 168996
License
- Licensed by
- California State Board of Pharmacy
- License number
- 168996
- Status
- Active
- First issued
- October 2, 2018
- Expires
- July 31, 2028
- License holder
- Andrew John Wirjadisastra
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- License type code
- TCH
- School
- Samford University (alabama)
- Year graduated
- 2018
- Degree
- Degree Not Applicable
Contact
35623 Dante Pl
Fremont, CA 94536
Fremont, CA 94536
Alameda County