Mimi Danielle Lively
ActiveCalifornia license 25356
License
- Licensed by
- California State Board of Pharmacy
- License number
- 25356
- Status
- Active
- First issued
- August 22, 2019
- Expires
- August 1, 2027
- License holder
- Mimi Danielle Lively
- Entity type
- Individual
Classifications
- Wls/mfg Designated Representative In Charge Pharmacy
More from the license record
- License type code
- EXC
- School
- Other/fg
Contact
4650 North Ave
Oceanside, CA 92056
Oceanside, CA 92056
San Diego County