License Directory

Pushtana Fazli

Active

California license 78464

License

Licensed by
California State Board of Pharmacy
License number
78464
Status
Active
First issued
June 1, 2018
Expires
September 30, 2027
License holder
Pushtana Fazli
Entity type
Individual

Classifications

More from the license record

License type code
RPH
School
California Northstate College Of Pharmacy
Year graduated
2017
Degree
Pharm/d Or Dr. Of Pharmacy

Contact

1754 Fleabane Ln
Manteca, CA 95337
San Joaquin County