License Directory

Anterious Odell Waller

Active

California license 54252

License

Licensed by
California State Board of Pharmacy
License number
54252
Status
Active
First issued
January 19, 2004
Expires
March 31, 2027
License holder
Anterious Odell Waller
Entity type
Individual

Classifications

More from the license record

License type code
TCH
School
Samford University (alabama)
Year graduated
2003
Degree
Degree Not Applicable

Contact

2332 E Menlo Ave
Fresno, CA 93710
Fresno County