Amy Phaviseth
ActiveCalifornia license 74466
License
- Licensed by
- California State Board of Pharmacy
- License number
- 74466
- Status
- Active
- First issued
- February 16, 2007
- Expires
- October 31, 2028
- License holder
- Amy Phaviseth
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- License type code
- TCH
- School
- Samford University (alabama)
- Year graduated
- 2007
- Degree
- Degree Not Applicable
Contact
317 Milford St #6
Glendale, CA 91203
Glendale, CA 91203
Los Angeles County