Stephen Timothy Provan
ActiveCalifornia license 46739
License
- Licensed by
- California State Board of Pharmacy
- License number
- 46739
- Status
- Active
- First issued
- September 15, 1993
- Expires
- February 28, 2027
- License holder
- Stephen Timothy Provan
- Entity type
- Individual
Classifications
- Registered Pharmacist Pharmacy
More from the license record
- License type code
- RPH
- School
- University Of The Pacific (calif)
- Year graduated
- 1993
- Degree
- Pharm/d Or Dr. Of Pharmacy
Contact
14225 Dry Creek Rd
Auburn, CA 95602
Auburn, CA 95602
Placer County