California
Department of Consumer Affairs
BAN VERED
Registered Pharmacist
License number
46774
Date granted
10/20/1993
Date expires
06/30/2015
Class
Registered Pharmacist
Status
Delinquent
Address
17328 VENTURA BL #103 ENCINO CA 91316
californialicensing.org
ID 12122645
LAST UPDATED 2024-04-18 16:33:28 UTC
LAST UPDATED 2024-04-18 16:33:28 UTC
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