License holder summary

BE IDAYANTI W is a Pharmacy Technician licensed to practice in California. The address on file for BE IDAYANTI W is 2316 CALLE ADRIANA SAN DIMAS CA 91773. This pharmacist license is current. The license was granted 05/02/2003 and expired on 07/31/2016.

Department of Consumer Affairs

Board of Pharmacy

BE IDAYANTI W
Pharmacy Technician
License number
45285
Date granted
05/02/2003
Date expires
07/31/2016
Class
Pharmacy Technician
Status
Clear
Address
2316 CALLE ADRIANA SAN DIMAS CA 91773
californiapharmacists.org
ID 11971390
LAST UPDATED 2024-04-15 11:28:07 UTC

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