License holder summary

BASULTO CERISSA SOPHIA is a Pharmacy Technician licensed to practice in California. The address on file for BASULTO CERISSA SOPHIA is 803 W DONOVAN ROAD SANTA MARIA CA 93454. This pharmacist license is not current. The license was granted 06/03/1996 and expired on 09/30/1999.

Department of Consumer Affairs

Board of Pharmacy

BASULTO CERISSA SOPHIA
Pharmacy Technician
License number
19296
Date granted
06/03/1996
Date expires
09/30/1999
Class
Pharmacy Technician
Status
Canceled
Address
803 W DONOVAN ROAD SANTA MARIA CA 93454
californiapharmacists.org
ID 12007045
LAST UPDATED 2026-04-14 07:58:26 UTC

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