License Directory

An Thien Ta

Active

California 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

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
Riverside County