Adam Mark Divelbiss
ActiveCalifornia license 22613
License
- Licensed by
- California State Board of Pharmacy
- License number
- 22613
- Status
- Active
- First issued
- December 31, 2013
- Expires
- December 1, 2026
- License holder
- Adam Mark Divelbiss
- 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
- 2000
- Degree
- Degree Not Applicable
Contact
222 South Jared St
Dubois, PA 15801
Dubois, PA 15801