California
Department of Consumer Affairs
MODROVICH IVAN E
Pharmacy - Designated Representative (Exemptees)
License number
15673
Date granted
07/14/2000
Date expires
07/01/2014
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
96 NATALIE WAY CAMARILLO CA 93010
californialicensing.org
ID 11665858
LAST UPDATED 2024-03-21 03:57:50 UTC
LAST UPDATED 2024-03-21 03:57:50 UTC
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