Vanthong Tracy Pheauboonma
ActiveCalifornia 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
-
CA
ActivePetaluma, CAExpires Dec 31, 2026
Contact
Po Box 751541
Petaluma, CA 94975-1541
Petaluma, CA 94975-1541
Sonoma County