California
Department of Consumer Affairs
THAI LAN PHOUNG
Registered Pharmacist
License number
56487
Date granted
10/21/2004
Date expires
08/31/2016
Class
Registered Pharmacist
Status
Clear
Address
13108 MALVASIA WAY RANCHO CUCAMONGA CA 91739
californialicensing.org
ID 12147272
LAST UPDATED 2026-04-09 14:15:58 UTC
LAST UPDATED 2026-04-09 14:15:58 UTC
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