Department of Consumer Affairs
Board of Pharmacy
KHAMPHOUMY ELWAY BLACK
Pharmacy Technician
License number
113997
Date granted
09/27/2011
Date expires
08/31/2017
Class
Pharmacy Technician
Status
Clear
Address
1215 BELLAS ARTES CIR SAN RAMON CA 94582
californiapharmacists.org
ID 12002849
LAST UPDATED 2024-04-23 17:50:46 UTC
LAST UPDATED 2024-04-23 17:50:46 UTC
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