Levita Kasan Hidayat
ActiveCalifornia license 55683
License
- Licensed by
- California State Board of Pharmacy
- License number
- 55683
- Status
- Active
- First issued
- July 13, 2004
- Expires
- June 30, 2028
- License holder
- Levita Kasan Hidayat
- Entity type
- Individual
Classifications
- Registered Pharmacist Pharmacy
More from the license record
- License type code
- RPH
- School
- Western Univ. Health Scienses Coll. Of Phy (ca)
- Year graduated
- 2004
- Degree
- Pharm/d Or Dr. Of Pharmacy
Contact
205 Calle Botanico
San Clemente, CA 92673
San Clemente, CA 92673
Orange County