License holder summary

BACK JACOB G is a Registered Pharmacist licensed to practice in California. The address on file for BACK JACOB G is 19113 VILLAGE 16 LEISURE VILLAGE CAMARILLO CA 93010.

California

Department of Consumer Affairs

BACK JACOB G
Registered Pharmacist
License number
11437
Date expires
10/31/1981
Class
Registered Pharmacist
Status
Revoked
Address
19113 VILLAGE 16 LEISURE VILLAGE CAMARILLO CA 93010
californialicensing.org
ID 12115698
LAST UPDATED 2024-02-26 19:34:32 UTC

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