Mutsuko Komori Defourny
ActiveCalifornia license 22956
License
- Licensed by
- California State Board of Pharmacy
- License number
- 22956
- Status
- Active
- First issued
- September 18, 2014
- Expires
- September 1, 2027
- License holder
- Mutsuko Komori Defourny
- 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
1718 Ringwood Ave
San Jose, CA 95131-1171
San Jose, CA 95131-1171
Santa Clara County