Somsavai Keodara Liston
InactiveCalifornia license 54056
License
- Licensed by
- California State Board of Pharmacy
- License number
- 54056
- Status
- Inactive
- First issued
- September 4, 2002
- Expires
- August 31, 2028
- License holder
- Somsavai Keodara Liston
- Entity type
- Individual
Classifications
- Registered Pharmacist Pharmacy
More from the license record
- License type code
- RPH
- School
- University Of California-S.F.
- Year graduated
- 2002
- Degree
- Pharm/d Or Dr. Of Pharmacy
Contact
575 N Pinion Hills Dr
Dammeron Valley, UT 84783
Dammeron Valley, UT 84783