Wade Lee Clark
ActiveCalifornia license 59400
License
- Licensed by
- California State Board of Pharmacy
- License number
- 59400
- Status
- Active
- First issued
- March 20, 2007
- Expires
- May 31, 2028
- License holder
- Wade Lee Clark
- Entity type
- Individual
Classifications
- Registered Pharmacist Pharmacy
More from the license record
- License type code
- RPH
- School
- Idaho State University
- Year graduated
- 2004
- Degree
- Pharm/d Or Dr. Of Pharmacy
Contact
1065 Crinella Dr
Petaluma, CA 94954
Petaluma, CA 94954
Sonoma County