License Directory

Trusela Thao Souksamphan

Active

California license 179134

License

Licensed by
California State Board of Pharmacy
License number
179134
Status
Active
First issued
October 8, 2020
Expires
May 31, 2028
License holder
Trusela Thao Souksamphan
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

8231 Aden Way
Sacramento, CA 95828
Sacramento County