Carmen Susanne Rivera
ExpiredCalifornia license 27559
License
- Licensed by
- California State Board of Pharmacy
- License number
- 27559
- Status
- Expired (Delinquent)
- First issued
- July 12, 2024
- Expired
- July 1, 2026
- License holder
- Carmen Susanne Rivera
- 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
- 2024
- Degree
- Degree Not Applicable
Contact
5305 W Buckeye Rd
Phoenix, AZ 85043
Phoenix, AZ 85043