Andre Stephan Bennett
ActiveCalifornia license 24062
License
- Licensed by
- California State Board of Pharmacy
- License number
- 24062
- Status
- Active
- First issued
- December 13, 2016
- Expires
- December 1, 2026
- License holder
- Andre Stephan Bennett
- 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
Contact
4625 Nw Brookwood Pky
Hillsboro, OR 97124
Hillsboro, OR 97124