Mario Listiawan
ActiveCalifornia license 65574
License
- Licensed by
- California State Board of Pharmacy
- License number
- 65574
- Status
- Active
- First issued
- July 22, 2011
- Expires
- March 31, 2027
- License holder
- Mario Listiawan
- Entity type
- Individual
Classifications
- Registered Pharmacist Pharmacy
More from the license record
- License type code
- RPH
- School
- University Of California-S.F.
- Year graduated
- 2011
- Degree
- Pharm/d Or Dr. Of Pharmacy
Contact
23819 Califa St
Woodland Hills, CA 91367
Woodland Hills, CA 91367
Los Angeles County