Kenneth Paul Tiratira Mata
ActiveCalifornia license 87473
License
- Licensed by
- California State Board of Pharmacy
- License number
- 87473
- Status
- Active
- First issued
- December 5, 2022
- Expires
- October 31, 2028
- License holder
- Kenneth Paul Tiratira Mata
- Entity type
- Individual
Classifications
- Registered Pharmacist Pharmacy
More from the license record
- License type code
- RPH
- School
- Western Univ. Health Scienses Coll. Of Phy (ca)
- Year graduated
- 2022
- Degree
- Pharm/d Or Dr. Of Pharmacy
Contact
8836 Jacaranda #f
Montclair, CA 91763
Montclair, CA 91763
San Bernardino County