Mark Louis Weaver
ActiveCalifornia license 21174
License
- Licensed by
- California State Board of Pharmacy
- License number
- 21174
- Status
- Active
- First issued
- April 7, 2011
- Expires
- April 1, 2027
- License holder
- Mark Louis Weaver
- Entity type
- Individual
Classifications
- Wls/mfg Designated Representative In Charge Pharmacy
More from the license record
- License type code
- EXC
- School
- Other/fg
- Year graduated
- 2011
- Degree
- Degree Not Applicable
Contact
1700 N Chrisman
Tracy, CA 95304
Tracy, CA 95304
San Joaquin County