Manjunath Bagewadi Ellur
ActiveCalifornia license 27028
License
- Licensed by
- California State Board of Pharmacy
- License number
- 27028
- Status
- Active
- First issued
- April 5, 2023
- Expires
- April 1, 2027
- License holder
- Manjunath Bagewadi Ellur
- 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
Contact
2164 Bridle Path Dr
Troy, MI 48098
Troy, MI 48098