Frederick Evan Broussard
ActiveCalifornia license 83938
License
- Licensed by
- California State Board of Pharmacy
- License number
- 83938
- Status
- Active
- First issued
- December 10, 2020
- Expires
- December 31, 2026
- License holder
- Frederick Evan Broussard
- Entity type
- Individual
Classifications
- Registered Pharmacist Pharmacy
More from the license record
- License type code
- RPH
- School
- Chicago State University College Of Pharmacy
- Year graduated
- 2020
- Degree
- Pharm/d Or Dr. Of Pharmacy
Contact
2630 Torrey Pines Rd #e22
La Jolla, CA 92037
La Jolla, CA 92037
San Diego County