California
Department of Consumer Affairs
BALOGH JASON MICHAEL
Pharmacy - Designated Representative (Exemptees)
License number
17400
Date granted
03/26/2004
Date expires
03/01/2006
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
1281 NATIONAL DRIVE SACRAMENTO CA 95834
californialicensing.org
ID 11670911
LAST UPDATED 2024-02-20 15:05:18 UTC
LAST UPDATED 2024-02-20 15:05:18 UTC
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