License Directory

Mario Listiawan

Active

California 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

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
Los Angeles County