California
Department of Consumer Affairs
ADCOCK JIM DALE
Pharmacy - Designated Representative (Exemptees)
License number
18816
Date granted
09/18/2006
Date expires
09/01/2008
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
2117 JAMES AVE SOUTH LAKE TAHOE CA 96150
californialicensing.org
ID 11672652
LAST UPDATED 2024-03-03 21:48:02 UTC
LAST UPDATED 2024-03-03 21:48:02 UTC
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