License holder summary

BALLESTEROS EDWARD is a Pharmacy - Designated Representative (Exemptees) licensed to practice in California. The address on file for BALLESTEROS EDWARD is 22003 INDEPENDENCIA ST WOODLAND HILLS CA 91364. This licensed professional license is not current. The license was granted 05/06/2003 and expired on 05/01/2008.

California

Department of Consumer Affairs

BALLESTEROS EDWARD
Pharmacy - Designated Representative (Exemptees)
License number
16983
Date granted
05/06/2003
Date expires
05/01/2008
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
22003 INDEPENDENCIA ST WOODLAND HILLS CA 91364
californialicensing.org
ID 11674398
LAST UPDATED 2024-02-22 08:40:55 UTC

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