License Directory

Marissa Annie-Lin Theonugraha

Active

California license 83332

License

Licensed by
California State Board of Pharmacy
License number
83332
Status
Active
First issued
September 18, 2020
Expires
January 31, 2028
License holder
Marissa Annie-Lin Theonugraha
Entity type
Individual

Classifications

More from the license record

License type code
RPH
School
University Of The Pacific (calif)
Year graduated
2020
Degree
Pharm/d Or Dr. Of Pharmacy

Contact

8339 Shelter Creek Ln
San Bruno, CA 94066
San Mateo County