Roger Dillard Massengale
ActiveCalifornia license 25868
License
- Licensed by
- California State Board of Pharmacy
- License number
- 25868
- Status
- Active
- First issued
- April 28, 2021
- Expires
- April 1, 2027
- License holder
- Roger Dillard Massengale
- 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
- 2020
- Degree
- Degree Not Applicable
Contact
65 Enterprise 3rd Fl
Aliso Viejo, CA 92656
Aliso Viejo, CA 92656
Orange County