Melani Sue Provost

License

Licensed by

California State Board of Pharmacy

License number

26939

Status

Active

First issued

February 3, 2023

Expires

February 1, 2027

License holder

Melani Sue Provost

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

2023

Degree

Degree Not Applicable

Other California licenses under this name

• CA
  Melani Sue Provost

  License 40904

  Designated Representative - 3pl
  Active

  Boston, MA

  Expires Aug 1, 2027

Contact