Ella Teresa Haase
ActiveCalifornia license 21547
License
- Licensed by
- California State Board of Pharmacy
- License number
- 21547
- Status
- Active
- First issued
- January 11, 2012
- Expires
- January 1, 2027
- License holder
- Ella Teresa Haase
- 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
2601 Sw Log Creek Rd
Kingston, MO 64650
Kingston, MO 64650