License holder summary

MARTINEZ JERRY A is a Pharmacy - Designated Representative (Exemptees) licensed to practice in California. The address on file for MARTINEZ JERRY A is 5167 EL MORADO ST MONTCLAIR CA 91763. This licensed professional license is not current. The license was granted 10/01/2004 and expired on 10/01/2015.

California

Department of Consumer Affairs

MARTINEZ JERRY A
Pharmacy - Designated Representative (Exemptees)
License number
17658
Date granted
10/01/2004
Date expires
10/01/2015
Class
Pharmacy - Designated Representative (Exemptees)
Status
Delinquent
Address
5167 EL MORADO ST MONTCLAIR CA 91763
californialicensing.org
ID 11669250
LAST UPDATED 2024-03-02 10:14:52 UTC

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