Kelly Dung Thi My Phan
ActiveCalifornia license 64703
License
- Licensed by
- California State Board of Pharmacy
- License number
- 64703
- Status
- Active
- First issued
- October 1, 2010
- Expires
- December 31, 2027
- License holder
- Kelly Dung Thi My Phan
- Entity type
- Individual
Classifications
- Registered Pharmacist Pharmacy
More from the license record
- License type code
- RPH
- School
- Lake Erie College Osteopathic Medicine, School Of Pharmacy
- Year graduated
- 2010
- Degree
- Pharm/d Or Dr. Of Pharmacy
Contact
1308 Isengard Ct
San Jose, CA 95121
San Jose, CA 95121
Santa Clara County