Jacklyn Diane Mitsubata
ActiveCalifornia license 86686
License
- Licensed by
- California State Board of Pharmacy
- License number
- 86686
- Status
- Active
- First issued
- August 26, 2022
- Expires
- September 30, 2027
- License holder
- Jacklyn Diane Mitsubata
- Entity type
- Individual
Classifications
- Registered Pharmacist Pharmacy
More from the license record
- License type code
- RPH
- School
- Other/fg
- Year graduated
- 2010
- Degree
- Bs
Contact
19 Wyndham St
Ladera Ranch, CA 92694
Ladera Ranch, CA 92694
Orange County