License holder summary

SIVONGXAY LISA TIP is a Pharmacy Technician licensed to practice in California. The address on file for SIVONGXAY LISA TIP is 4035 LOUIS KROHN DR SANTA ROSA CA 95407. This pharmacist license is current. The license was granted 09/27/2012 and expired on 05/31/2016.

Department of Consumer Affairs

Board of Pharmacy

SIVONGXAY LISA TIP
Pharmacy Technician
License number
126115
Date granted
09/27/2012
Date expires
05/31/2016
Class
Pharmacy Technician
Status
Clear
Address
4035 LOUIS KROHN DR SANTA ROSA CA 95407
californiapharmacists.org
ID 12008044
LAST UPDATED 2024-02-14 15:30:05 UTC

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