An Thien Ta
ActiveCalifornia license 178144
License
- Licensed by
- California State Board of Pharmacy
- License number
- 178144
- Status
- Active
- First issued
- June 11, 2020
- Expires
- February 29, 2028
- License holder
- An Thien Ta
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- License type code
- TCH
- School
- Samford University (alabama)
- Year graduated
- 2020
- Degree
- Degree Not Applicable
Contact
12555 Softwind Dr
Moreno Valley, CA 92553
Moreno Valley, CA 92553
Riverside County