Stacy Pheauboonma
ActiveCalifornia license 24906
License
- Licensed by
- California State Board of Pharmacy
- License number
- 24906
- Status
- Active
- First issued
- June 5, 2018
- Expires
- June 1, 2027
- License holder
- Stacy 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
- 2018
- Degree
- Degree Not Applicable
Other California licenses under this name
-
CA
ActivePetaluma, CAExpires Oct 31, 2028
Contact
Po Box 751541
Petaluma, CA 94975
Petaluma, CA 94975
Sonoma County