License Directory

Jennigrace Carbonell Bautista

Active

California license 55747

License

Licensed by
California State Board of Pharmacy
License number
55747
Status
Active
First issued
July 23, 2004
Expires
January 31, 2028
License holder
Jennigrace Carbonell Bautista
Entity type
Individual

Classifications

More from the license record

License type code
RPH
School
University Of The Pacific (calif)
Year graduated
2004
Degree
Pharm/d Or Dr. Of Pharmacy

Contact

2131 Canyon Crest
San Ramon, CA 94582
Contra Costa County