Miranda Marie Fuller
ExpiredCalifornia license 79094
License
- Licensed by
- California State Board of Pharmacy
- License number
- 79094
- Status
- Expired (Delinquent)
- First issued
- September 24, 2018
- Expired
- August 31, 2024
- License holder
- Miranda Marie Fuller
- Entity type
- Individual
Classifications
- Registered Pharmacist Pharmacy
More from the license record
- License type code
- RPH
- School
- University Of Rhode Island
- Year graduated
- 2018
- Degree
- Pharm/d Or Dr. Of Pharmacy
Contact
37 Knox Ave
Bangor, ME 04401
Bangor, ME 04401