California
Department of Consumer Affairs
BALQUIST JAMES M
Pharmacy - Designated Representative (Exemptees)
License number
17020
Date granted
06/13/2003
Date expires
06/01/2008
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
20400 MARIANI AVE CUPERTINO CA 95014
californialicensing.org
ID 11666766
LAST UPDATED 2026-06-02 17:40:31 UTC
LAST UPDATED 2026-06-02 17:40:31 UTC
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