Andreas Martinus Ichwan
ActiveCalifornia license 48776
License
- Licensed by
- California State Board of Pharmacy
- License number
- 48776
- Status
- Active
- First issued
- August 13, 1996
- Expires
- April 30, 2028
- License holder
- Andreas Martinus Ichwan
- Entity type
- Individual
Classifications
- Registered Pharmacist Pharmacy
More from the license record
- License type code
- RPH
- School
- Creighton University (nebraska)
- Year graduated
- 1996
- Degree
- Pharm/d Or Dr. Of Pharmacy
Contact
1156 Hoskins Ln
San Ramon, CA 94582
San Ramon, CA 94582
Contra Costa County