Eva Susi Mulyawati
ActiveCalifornia license 58064
License
- Licensed by
- California State Board of Pharmacy
- License number
- 58064
- Status
- Active
- First issued
- January 23, 2006
- Expires
- September 30, 2027
- License holder
- Eva Susi Mulyawati
- Entity type
- Individual
Classifications
- Registered Pharmacist Pharmacy
More from the license record
- License type code
- RPH
- School
- Other/fg
- Year graduated
- 2000
- Degree
- Bs
Contact
12985 Amaranth Street
San Diego, CA 92129
San Diego, CA 92129
San Diego County