License holder summary

BAEZA RICHARD A is a Pharmacy - Designated Representative (Exemptees) licensed to practice in California. The address on file for BAEZA RICHARD A is 2854 CARMA COURT RIVERSIDE CA 92503. This licensed professional license is not current. The license was granted 09/15/2004 and expired on 09/01/2007.

California

Department of Consumer Affairs

BAEZA RICHARD A
Pharmacy - Designated Representative (Exemptees)
License number
17642
Date granted
09/15/2004
Date expires
09/01/2007
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
2854 CARMA COURT RIVERSIDE CA 92503
californialicensing.org
ID 19871560
LAST UPDATED 2024-04-11 20:14:44 UTC

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