Brandon Lyane Boutin
ActiveCalifornia license 28351
License
- Licensed by
- California State Board of Pharmacy
- License number
- 28351
- Status
- Active
- First issued
- December 26, 2025
- Expires
- December 1, 2026
- License holder
- Brandon Lyane Boutin
- 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
- 2025
- Degree
- Degree Not Applicable
Contact
8001 Sw 47th St
Oklahoma City, OK 73179
Oklahoma City, OK 73179