License holder summary

BALLANTYNE GLENN is a Pharmacy - Designated Representative (Exemptees) licensed to practice in California. The address on file for BALLANTYNE GLENN is 2534 LAKE CENTER DRIVE SANTA ANA CA 92704. This licensed professional license is not current. The license was granted 03/14/1995 and expired on 03/01/2001.

California

Department of Consumer Affairs

BALLANTYNE GLENN
Pharmacy - Designated Representative (Exemptees)
License number
12607
Date granted
03/14/1995
Date expires
03/01/2001
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
2534 LAKE CENTER DRIVE SANTA ANA CA 92704
californialicensing.org
ID 11672149
LAST UPDATED 2024-02-25 12:05:03 UTC

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