Department of Consumer Affairs
Board of Pharmacy
PHANTHALATH MANICHANH
Pharmacy Technician
License number
45596
Date granted
10/31/2002
Date expires
01/31/2012
Class
Pharmacy Technician
Status
Canceled
Address
262 LAUSANNE DR SAN DIEGO CA 92114
californiapharmacists.org
ID 11968725
LAST UPDATED 2026-04-06 19:30:25 UTC
LAST UPDATED 2026-04-06 19:30:25 UTC
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