License Directory

Mark Bounthavong

Active

California 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

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
San Diego County