License Directory

Basilio Otoniel Jeronimo Antonio

Active

California license 173617

License

Licensed by
California State Board of Pharmacy
License number
173617
Status
Active
First issued
September 5, 2019
Expired
October 31, 2026
License holder
Basilio Otoniel Jeronimo Antonio
Entity type
Individual

Classifications

More from the license record

License type code
TCH
School
Samford University (alabama)
Year graduated
2019
Degree
Degree Not Applicable

Contact

1328 E 57th St
Los Angeles, CA 90011
Los Angeles County