Mariam Fares Dikran Boulos
InactiveCalifornia license 68869
License
- Licensed by
- California State Board of Pharmacy
- License number
- 68869
- Status
- Inactive
- First issued
- July 1, 2013
- Expires
- November 30, 2026
- License holder
- Mariam Fares Dikran Boulos
- Entity type
- Individual
Classifications
- Registered Pharmacist Pharmacy
More from the license record
- License type code
- RPH
- School
- Other/fg
- Year graduated
- 2004
- Degree
- Pharm/d Or Dr. Of Pharmacy
Contact
312 Nw 195th St
Shoreline, WA 98177
Shoreline, WA 98177