Bosten Tanner Fieldseth
ActiveCalifornia license 27766
License
- Licensed by
- California State Board of Pharmacy
- License number
- 27766
- Status
- Active
- First issued
- September 5, 2024
- Expires
- September 1, 2027
- License holder
- Bosten Tanner Fieldseth
- 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
13115 Brockton Ln N
Rogers, MN 55374
Rogers, MN 55374