California
Department of Consumer Affairs
BALLESTEROS LAURA
Pharmacy - Designated Representative (Exemptees)
License number
17644
Date granted
09/15/2004
Date expires
09/01/2009
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
1203 E ROBIDOUX STREET #1 WILMINGTON CA 90744
californialicensing.org
ID 11674229
LAST UPDATED 2026-04-06 19:39:43 UTC
LAST UPDATED 2026-04-06 19:39:43 UTC
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