Marissa Annie-Lin Theonugraha
ActiveCalifornia 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
- Registered Pharmacist Pharmacy
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 Bruno, CA 94066
San Mateo County