Italo Diego Lisboa
ActiveCalifornia license 28572
License
- Licensed by
- California State Board of Pharmacy
- License number
- 28572
- Status
- Active
- First issued
- July 16, 2026
- Expires
- July 1, 2027
- License holder
- Italo Diego Lisboa
- 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
- 2026
- Degree
- Degree Not Applicable
Contact
2400 Keystone Pacific Pkwy #b
Patterson, CA 95363
Patterson, CA 95363
Stanislaus County