Lisa Marie Blackketter
ActiveCalifornia license 22949
License
- Licensed by
- California State Board of Pharmacy
- License number
- 22949
- Status
- Active
- First issued
- April 30, 2015
- Expires
- April 1, 2027
- License holder
- Lisa Marie Blackketter
- 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
- 2014
- Degree
- Degree Not Applicable
Contact
2957 Panama Ave
Carmichael, CA 95608
Carmichael, CA 95608
Sacramento County