Yatin Jagannath Shukla
ExpiredCalifornia license 63769
License
- Licensed by
- California State Board of Pharmacy
- License number
- 63769
- Status
- Expired (Delinquent)
- First issued
- March 17, 2010
- Expired
- March 31, 2024
- License holder
- Yatin Jagannath Shukla
- Entity type
- Individual
Classifications
- Registered Pharmacist Pharmacy
More from the license record
- License type code
- RPH
- School
- Other/fg
- Year graduated
- 2009
- Degree
- Pharm/d Or Dr. Of Pharmacy
Contact
16794 Sw Snowdale St
Beaverton, OR 97007
Beaverton, OR 97007