Diane Vivian Smith
ExpiredCalifornia license 24968
License
- Licensed by
- California State Board of Pharmacy
- License number
- 24968
- Status
- Expired (Delinquent)
- First issued
- July 31, 2018
- Expired
- July 1, 2026
- License holder
- Diane Vivian Smith
- 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
Contact
17500 Perris Blvd
Moreno Valley, CA 92551
Moreno Valley, CA 92551
Riverside County