Mark Bounthavong
ActiveCalifornia license 55969
License
- Licensed by
- California State Board of Pharmacy
- License number
- 55969
- Status
- Active
- First issued
- August 6, 2004
- Expires
- May 31, 2028
- License holder
- Mark Bounthavong
- 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
9255 Pharmacy Ln Mc 0657
La Jolla, CA 92093-0657
La Jolla, CA 92093-0657
San Diego County