Souksakhone Susie Manivanh
ActiveCalifornia license 79222
License
- Licensed by
- California State Board of Pharmacy
- License number
- 79222
- Status
- Active
- First issued
- September 25, 2018
- Expires
- February 29, 2028
- License holder
- Souksakhone Susie Manivanh
- Entity type
- Individual
Classifications
- Registered Pharmacist Pharmacy
More from the license record
- License type code
- RPH
- School
- Touro University - California College Of Pharmacy
- Year graduated
- 2016
- Degree
- Pharm/d Or Dr. Of Pharmacy
Contact
215 Marquette Ave
San Marcos, CA 92078
San Marcos, CA 92078
San Diego County