Alan Wayne Bass
ActiveCalifornia license 27179
License
- Licensed by
- California State Board of Pharmacy
- License number
- 27179
- Status
- Active
- First issued
- October 4, 2023
- Expires
- October 1, 2027
- License holder
- Alan Wayne Bass
- 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
243 Mosely Ln
Grand Cane, LA 71032
Grand Cane, LA 71032