California
Department of Consumer Affairs
BACA NATHAN WILLIAM
Pharmacy - Designated Representative (Exemptees)
License number
19827
Date granted
01/20/2009
Date expires
01/01/2010
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
25564 MAITLAND AVE HAYWARD CA 94542
californialicensing.org
ID 11667938
LAST UPDATED 2024-04-02 23:24:50 UTC
LAST UPDATED 2024-04-02 23:24:50 UTC
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