Lan Phoung Thai
ExpiredCalifornia license 56487
License
- Licensed by
- California State Board of Pharmacy
- License number
- 56487
- Status
- Expired (Delinquent)
- First issued
- October 21, 2004
- Expired
- August 31, 2024
- License holder
- Lan Phoung Thai
- Entity type
- Individual
Classifications
- Registered Pharmacist Pharmacy
More from the license record
- License type code
- RPH
- School
- Temple University (pennsylvania)
- Year graduated
- 2000
- Degree
- Bs
Contact
13108 Malvasia Way
Rancho Cucamonga, CA 91739
Rancho Cucamonga, CA 91739
San Bernardino County