California
Department of Consumer Affairs
PHUNG PHAN VIVIAN THAO
Registered Pharmacist
License number
49876
Date granted
10/27/1997
Date expires
04/30/2017
Class
Registered Pharmacist
Status
Clear
Address
25812 LACEBARK RD CORONA CA 92883
californialicensing.org
ID 12118668
LAST UPDATED 2024-04-28 15:17:22 UTC
LAST UPDATED 2024-04-28 15:17:22 UTC
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