Supannee Sandra Lertpaichaiyon
ActiveCalifornia license 79547
License
- Licensed by
- California State Board of Pharmacy
- License number
- 79547
- Status
- Active
- First issued
- October 1, 2018
- Expires
- May 31, 2028
- License holder
- Supannee Sandra Lertpaichaiyon
- 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
- 2018
- Degree
- Pharm/d Or Dr. Of Pharmacy
Contact
32627 Presidio Hills Ln
Winchester, CA 92596
Winchester, CA 92596
Riverside County