Cava Genevieve Hadikusumo
ActiveCalifornia license 57282
License
- Licensed by
- California State Board of Pharmacy
- License number
- 57282
- Status
- Active
- First issued
- August 10, 2005
- Expires
- September 30, 2028
- License holder
- Cava Genevieve Hadikusumo
- Entity type
- Individual
Classifications
- Registered Pharmacist Pharmacy
More from the license record
- License type code
- RPH
- School
- University Of California-S.F.
- Year graduated
- 2005
- Degree
- Pharm/d Or Dr. Of Pharmacy
Contact
6028 N Avon Ave
San Gabriel, CA 91775
San Gabriel, CA 91775
Los Angeles County