License Directory

Vanthong Tracy Pheauboonma

Active

California license 23715

License

Licensed by
California State Board of Pharmacy
License number
23715
Status
Active
First issued
September 1, 2016
Expires
September 1, 2027
License holder
Vanthong Tracy Pheauboonma
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
2016
Degree
Degree Not Applicable

Other California licenses under this name

Contact

Po Box 751541
Petaluma, CA 94975-1541
Sonoma County